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CLASSIC COUNTRY LIVING INCORPORATED
NPI 1255408423
Assisted Living Facility in Boerne, TX

Active since November 30, 2006
109 SAVANAH JON BLVD, BOERNE, TX 78015(830) 336-4040(830) 336-4054 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Classic Country Living Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLASSIC COUNTRY LIVING INCORPORATED (NPI 1255408423) is a healthcare organization registered as an assisted living facility in Boerne, Texas and active in the NPI registry since November 2006. The organization lists Starlette Rose Rogge, Administrator And Manager, as its authorized official.

NPPES Registry Identity

NPI1255408423
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCLASSIC COUNTRY LIVING INCORPORATED
Location Address109 SAVANAH JON BLVDBoerne, TX 78015-8399
Mailing Address109 Savanah Jon BlvdBoerne, TX 78015-8399 · (830) 336-4040 · Fax (830) 336-4054
Phone(830) 336-4040
Fax(830) 336-4054
Organization SubpartNo
Authorized OfficialStarlette Rose RoggeAdministrator And Manager · (830) 336-4040
Enumeration DateNovember 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1255408423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in TX · 117205
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

109 SAVANAH JON BLVD, Boerne, TX 78015
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Classic Country Living Incorporated's NPI number?

The NPI number for Classic Country Living Incorporated is 1255408423. It was assigned to this organization in the NPPES registry on November 30, 2006.

Where is Classic Country Living Incorporated located?

Classic Country Living Incorporated is located at 109 Savanah Jon Blvd, Boerne, TX 78015. The listed phone number is (830) 336-4040.

What is Classic Country Living Incorporated's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Classic Country Living Incorporated was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.