COUNTRY CLUB CARE CENTER
NPI 1356481907
Residential Treatment Facility, Physical Disabilities in Warrensburg, MO


Overall Rating: 1 out of 5 stars

NPI Status: Active since February 06, 2007

Contact Information

503 REGENT DR
WARRENSBURG, MO
ZIP 64093
Phone: (660) 429-4444
Fax: (660) 429-4331

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About COUNTRY CLUB CARE CENTER

This page provides the complete NPI Profile along with additional information for Country Club Care Center, a provider established in Warrensburg, Missouri operating as a Residential Treatment Facility, Physical Disabilities. The healthcare provider is registered in the NPI registry with number 1356481907 assigned on February 2007. The practitioner's primary taxonomy code is 320700000X with license number 035594 (MO). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Country Club Care Center. The authorized official of this NPI record is Mr. Steve Bunch (Vice President Of Operations)

NPI
1356481907
Provider Legal Name
COUNTRY CLUB CARE CENTER OF WARRENSBURG L C
Other Organization Name
COUNTRY CLUB CARE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
503 REGENT DR WARRENSBURG, MO 64093
Location Phone
(660) 429-4444
Location Fax
(660) 429-4331
Mailing Address
503 REGENT DR WARRENSBURG, MO 64093
Mailing Phone
(660) 429-4444
Mailing Fax
(660) 429-4331
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-06-2007
Last Update Date
06-17-2008
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According to the Nursing Home Compare program data, Country Club Care Center has a much below average overall quality rating based on the provider's performance on three separate measures including: health inspections, staffing, and quality of resident care information. These quality measures, combined in a star rating of 1 out of 5 stars provide a snapshot of this nursing home quality.

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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

Residential Treatment Facility, Physical Disabilities

Taxonomy Code
320700000X
Type
Residential Treatment Facilities
License No.
035594
License State
MO
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.

Insurance Plans Accepted

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

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

MR. STEVE BUNCH

Authorized Official Title
VICE PRESIDENT OF OPERATIONS
Authorized Official Phone
(660) 429-4444

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
268298007MEDICAID (05)MO 

Nursing Home Quality Information

The Centers for Medicare and Medicaid Services publishes the Nursing Home Compare star rating data to provide consumers an easy way to compare nursing home's quality of care.

Overall Quality RatingNot Available
The overall star rating is based on a nursing homes's performance on health inspections, staffing and quality measures.
Health Inspection RatingNot Available
The health inspection star rating is based on a nursing home’s weighted score from the most recent health inspections.
Quality Measures Rating - 4 out of 5 stars - Above Average
The quality measures star rating is based on data from a select set of clinical measures.
Long-Stay Quality Measures Rating - 4 out of 5 stars - Above Average
The long-stay quality of care rating is based on the quality of care delivered to long-term residents only.
Short-Stay Quality Measures RatingNot Available
The short-stay quality of care rating is based on the quality of care delivered to temporary residents only.
*Not enough data available to calculate a star rating.
Staffing Rating - 1 out of 5 stars - Much Below Average
The staffing rating is based on the star rating based on the nursing home’s staffing hours for Registered Nurses (RNs), Licensed Practice Nurses (LPNs), Licensed Vocational Nurses (LVNs) and Nurse aides.
*This facility either did not submit staffing data, has reported a high number of days without a registered nurse onsite, or submitted data that could not be verified through an audit.
Nurse Aide Staffing Hours1.24 hours per resident per day
Nurse aide hours per resident per day. Higher number of hours are better.
RN Staffing Hours0.07 hours per resident per day
Resgistered nurse hours per resident per day. Higher number of hours are better.
Ownership TypeFor profit - Corporation
Is the facility private for profit, not-for profit or publicly owned.
Number of Certified Beds87 beds
Number of beds in the nursing home that have been approved by the federal government to participate in the Medicare or Medicaid programs.
Residents per Day75 residents
Average number of residents living in the facility per day.
Automatic Sprinkler SystemsYes
Does the facility have automatic sprinkler systems in all required areas?
Facility Reported Incidents3 incidents
Number of facility-reported incidents in the past 3 years. A lower number is better.
Substantiated Complaints6 complaints
Number of substantiated complaints in the past 3 years. A lower number is better.
Citations from Inspections0 citations after infection control inspection
Number of citations from infection control inspections in the past 3 years. A lower number is better.
Total Number of Penalties44 penalties from a serious health, fire safety or long-term unresolved citation
The Medicare program may impose penalties on a facilty when there's serious health or fire safety citations or if the facility fails to correct a citation for a long period of time.
Number of Fines44 fines
Toal number of fines in the last 3 years. A penalty can be a fine against the facility or denied payments from Medicare.
Amount of Fines$267549.75
Total monetary amount of fine imposed on the facility in the last 3 years.

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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 1356481907, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
4
Doubled → 8
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
7
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 5 → 10 → 1 4 → 8 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 0 + 6 + 8 + 8 + 2 + 9 + 0 + 24 = 63

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

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1356481907.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Skilled Nursing Facility
503 REGENT DR
WARRENSBURG, MO 64093
Physical Therapy Assistant
503 REGENT DR
WARRENSBURG, MO 64093
Speech-Language Pathologist
503 REGENT DR
WARRENSBURG, MO 64093
Physical Therapy Assistant
503 REGENT DR
WARRENSBURG, MO 64093
Skilled Nursing Facility
503 REGENT DR
WARRENSBURG, MO 64093

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356481907, enumerated as an "organization" on February 06, 2007.

The provider is located at 503 REGENT DR WARRENSBURG, MO 64093 and the phone number is (660) 429-4444.

Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.