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COUNTRY AIRE ESTATES LLC
NPI 1326113077
Assisted Living Facility - Assisted Living, Mental Illness in Hannibal, MO

Active since November 21, 2006CLIA 26D1086799 · Waiver
49303 RENSSELAER LN, HANNIBAL, MO 63401(573) 221-5400(573) 221-5437 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Country Aire Estates Llc NPPES

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

COUNTRY AIRE ESTATES LLC (NPI 1326113077) is a healthcare organization registered as an assisted living, mental illness in Hannibal, Missouri and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through July 17, 2028 and lists Georgia May Noland, Owner, as its authorized official.

NPPES Registry Identity

NPI1326113077
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameCOUNTRY AIRE ESTATES LLC
Location Address49303 RENSSELAER LNHannibal, MO 63401-7356
Mailing Address49303 Rensselaer LnHannibal, MO 63401-7356 · (573) 221-5400 · Fax (573) 221-5437
Phone(573) 221-5400
Fax(573) 221-5437
Organization SubpartNo
Authorized OfficialGeorgia May NolandOwner · (573) 221-5400
Enumeration DateNovember 21, 2006
Last NPPES UpdateFebruary 3, 2015
✔ NPI 1326113077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License✔ Licensed in MO · 018850
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
49303 RENSSELAER LN, Hannibal, MO 63401
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D1086799

Country Aire Estates · Hannibal, MO
Active · expires Jul 17, 2028
CLIA Number26D1086799
Laboratory TypeOther
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorGeorgia M. Noland
Laboratory Phone(573) 221-5400
Laboratory LocationCountry Aire Estates49303 Rensselaer Ln, Hannibal, MO 63401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Country Aire Estates LLC's NPI number?

The NPI number for Country Aire Estates LLC is 1326113077. It was assigned to this organization in the NPPES registry on November 21, 2006.

Where is Country Aire Estates LLC located?

Country Aire Estates LLC is located at 49303 Rensselaer Ln, Hannibal, MO 63401. The listed phone number is (573) 221-5400.

What is Country Aire Estates LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Does Country Aire Estates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1086799) is associated with this NPI, valid through July 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Country Aire Estates LLC was last updated on February 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.