COUNTRY HEALTH CARE
NPI 1356147128
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Phoenix, AZ

Q: What is Country Health Care's NPI number?

The NPI number for Country Health Care is 1356147128. It was assigned to this organization in the NPPES registry on February 21, 2025. The provider was formerly known as Country healh care.

Q: What is Country Health Care's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Active since February 21, 2025

4444 N 25TH ST UNIT 43, PHOENIX, AZ 85016(602) 363-2743 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Country Health Care NPPES

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

COUNTRY HEALTH CARE (NPI 1356147128), doing business as Country Healh Care, is a healthcare organization registered as a substance abuse treatment, children in Phoenix, Arizona and active in the NPI registry since February 2025. The organization lists Kenneth Sean Countryman, President, as its authorized official.

NPPES Registry Identity

NPI1356147128

Entity TypeOrganization

Primary Taxonomy3245S0500X

Legal Business NameCOUNTRY HEALTH CARE

Location Address4444 N 25TH ST UNIT 43Phoenix, AZ 85016-5645

Mailing AddressPo Box 11077Tempe, AZ 85284-0018 · (602) 363-2743

Phone(602) 363-2743

Organization SubpartNo

Authorized OfficialKenneth Sean CountrymanPresident · (602) 363-2743

Enumeration DateFebruary 21, 2025

NPPES CertifiedFebruary 21, 2025

✔ NPI 1356147128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities

Taxonomy Code3245S0500X

Definition

A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

4444 N 25TH ST UNIT 43, Phoenix, AZ 85016

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Other Names 1

Former Legal Business NameCountry Healh Care

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Health Care's NPI number?

The NPI number for Country Health Care is 1356147128. It was assigned to this organization in the NPPES registry on February 21, 2025. The provider was formerly known as Country healh care.

Where is Country Health Care located?

Country Health Care is located at 4444 N 25th St Unit 43, Phoenix, AZ 85016. The listed phone number is (602) 363-2743.

What is Country Health Care's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for Country Health Care was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.