COUNTRY AIRE OPCO, LLC
NPI 1376014423
Skilled Nursing Facility in Lewistown, MO

Active since December 16, 2018CLIA 26D0441501 · Waiver
18540 STATE HIGHWAY 16, LEWISTOWN, MO 63452(573) 215-2216 Get Directions Write a Review

NPPES record last updated: December 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Country Aire Opco, Llc NPPES

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

COUNTRY AIRE OPCO, LLC (NPI 1376014423), doing business as Country Aire Retirement Center, is a healthcare organization registered as a skilled nursing facility in Lewistown, Missouri and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Sam Stern, Cfo, as its authorized official.

NPPES Registry Identity

NPI1376014423
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOUNTRY AIRE OPCO, LLC
Location Address18540 STATE HIGHWAY 16Lewistown, MO 63452-2111
Mailing Address14c 53rd St Ste 220Brooklyn, NY 11232-2644 · (877) 567-0402
Organization SubpartNo
Authorized OfficialSam SternCfo · (877) 567-0402
Enumeration DateDecember 16, 2018
NPI 1376014423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X
Also ListedRespite CareTaxonomy 385H00000X
18540 STATE HIGHWAY 16, Lewistown, MO 63452

Other Names 1

Doing Business AsCountry Aire Retirement Center

Accepted Insurance

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 26D0441501

Country Aire Healthcare · Lewistown, MO
Active · expires Aug 31, 2026
CLIA Number26D0441501
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMartha Bogguss
Laboratory Phone(573) 215-2216
Laboratory LocationCountry Aire Healthcare18540 State Highway 16, Lewistown, MO 63452
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
18540 STATE HIGHWAY 16
LEWISTOWN, MO 63452
Skilled Nursing Facility
18540 STATE HIGHWAY 16
LEWISTOWN, MO 63452
Skilled Nursing Facility
18540 STATE HIGHWAY 16
LEWISTOWN, MO 63452
Skilled Nursing Facility
18540 STATE HIGHWAY 16
LEWISTOWN, MO 63452
Skilled Nursing Facility
18540 STATE HIGHWAY 16
LEWISTOWN, MO 63452
Skilled Nursing Facility
18540 STATE HIGHWAY 16
LEWISTOWN, MO 63452

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 Opco, LLC's NPI number?

The NPI number for Country Aire Opco, LLC is 1376014423. It was assigned to this organization in the NPPES registry on December 16, 2018. The provider is doing business as Country Aire Retirement Center.

Where is Country Aire Opco, LLC located?

Country Aire Opco, LLC is located at 18540 State Highway 16, Lewistown, MO 63452. The listed phone number is (573) 215-2216.

What is Country Aire Opco, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Country Aire Opco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0441501) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Country Aire Opco, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Country Aire Opco, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Country Aire Opco, LLC was last updated on December 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.