COUNTRY ROAD OPERATIONS LLC
NPI 1073109112
Substance Abuse Rehabilitation Facility in Tecumseh, OK

NPI Status: Active since December 14, 2020

Contact Information

24962 OKAY RD
TECUMSEH, OK
ZIP 74873
Phone: (405) 253-2020

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  • Organization
  • Substance Abuse Rehabilitation Facility
  • Accepts Insurance
  • CLIA Number: 37D2093226
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 03-23-2027

About COUNTRY ROAD OPERATIONS LLC

This page provides the complete NPI Profile along with additional information for Country Road Operations Llc, a provider established in Tecumseh, Oklahoma operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1073109112 assigned on December 2020. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Daniel Mandelbaum (Ceo)

NPI
1073109112
Provider Name
COUNTRY ROAD OPERATIONS LLC
Entity Type
Organization
Location Address
24962 OKAY RD TECUMSEH, OK 74873
Location Phone
(405) 253-2020
Mailing Address
24962 OKAY RD TECUMSEH, OK 74873
Mailing Phone
(405) 253-2020
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-14-2020
Last Update Date
12-14-2020
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Substance Abuse Rehabilitation Facility

Taxonomy Code
324500000X
Type
Residential Treatment Facilities
Taxonomy Description
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoice) + Vision + Adult Dental - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver (QualChoiceLife) + Vision + Adult Dental - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health) - HMO
  • MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
  • MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
  • MENDING Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO
  • Bronze Classic Standard - PPO
  • Bronze Elite + PCP Saver Plus - PPO
  • Bronze Simple - PPO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - PPO
  • Bronze Simple Chronic Care CKM - PPO
  • Bronze Simple Diabetes - PPO
  • Gold Classic Standard - PPO
  • Silver Classic Standard - PPO
  • Silver Elite Saver Plus - PPO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - PPO
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Essential (No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DANIEL MANDELBAUM

Authorized Official Title
CEO
Authorized Official Phone
(718) 570-6018

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
37D2093226
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
March 24, 2025
Certificate Expiration Date
March 23, 2027
Laboratory Director
CHRISTOPHER SNYDER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Country Road Operations Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for COUNTRY ROAD OPERATIONS LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073109112, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 1 → 2 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 2 + 0 + 1 + 8 + 1 + 2 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1073109112.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Substance Abuse Rehabilitation Facility
24962 OKAY RD
TECUMSEH, OK 74873
Substance Abuse Rehabilitation Facility
24962 OKAY RD
TECUMSEH, OK 74873
Substance Abuse Rehabilitation Facility
24962 OKAY RD
TECUMSEH, OK 74873
Family Medicine (Addiction Medicine)
24962 OKAY RD
TECUMSEH, OK 74873
Peer Specialist
24962 OKAY RD
TECUMSEH, OK 74873
Peer Specialist
24962 OKAY RD
TECUMSEH, OK 74873
Case Manager/Care Coordinator
24962 OKAY RD
TECUMSEH, OK 74873
Peer Specialist
24962 OKAY RD
TECUMSEH, OK 74873
Substance Abuse Rehabilitation Facility
24962 OKAY RD
TECUMSEH, OK 74873
Substance Abuse Rehabilitation Facility
24962 OKAY RD
TECUMSEH, OK 74873
Peer Specialist
24962 OKAY RD
TECUMSEH, OK 74873
Peer Specialist
24962 OKAY RD
TECUMSEH, OK 74873
Peer Specialist
24962 OKAY RD
TECUMSEH, OK 74873
Peer Specialist
24962 OKAY RD
TECUMSEH, OK 74873
Peer Specialist
24962 OKAY RD
TECUMSEH, OK 74873
Peer Specialist
24962 OKAY RD
TECUMSEH, OK 74873
Peer Specialist
24962 OKAY RD
TECUMSEH, OK 74873
Peer Specialist
24962 OKAY RD
TECUMSEH, OK 74873
Counselor (Addiction (Substance Use Disorder))
24962 OKAY RD
TECUMSEH, OK 74873
Peer Specialist
24962 OKAY RD
TECUMSEH, OK 74873

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073109112, enumerated as an "organization" on December 14, 2020.

The provider is located at 24962 OKAY RD TECUMSEH, OK 74873 and the phone number is (405) 253-2020.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.