COUNTRY CARE CENTER, CORP
NPI 1407070808
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Harlan, IA

NPI Status: Active since April 13, 2007

Contact Information

725 HIGHWAY 59
HARLAN, IA
ZIP 51537
Phone: (712) 744-3453
Fax: (712) 744-3458

Get Directions Write a Review

  • Organization
  • Community Based Residential Treatment Fa...
  • CLIA Number: 16D1003302
  • CLIA Cert. Type: Other - RESIDENTIAL CARE FACILITY
  • CLIA Exp. Date: 08-26-2026

About COUNTRY CARE CENTER, CORP

This page provides the complete NPI Profile along with additional information for Country Care Center, Corp, a provider established in Harlan, Iowa operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1407070808 assigned on April 2007. The practitioner's primary taxonomy code is 320900000X with license number R390 (IA). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Catherine Mcqueen (Administrator)

NPI
1407070808
Provider Name
COUNTRY CARE CENTER, CORP
Entity Type
Organization
Location Address
725 HIGHWAY 59 HARLAN, IA 51537
Location Phone
(712) 744-3453
Location Fax
(712) 744-3458
Mailing Address
PO BOX 351 HARLAN, IA 51537
Mailing Phone
(712) 744-3453
Mailing Fax
(712) 744-3458
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-13-2007
Last Update Date
09-11-2025
Code Navigator

Location Map

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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
R390
License State
IA
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1320600000XResidential Treatment Facilities

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

R390 (IA)

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

CATHERINE MCQUEEN

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(712) 744-3453

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
0735639OTHER (01)IAHCBS WAIVER
0894006MEDICAID (05)IA 
0238410OTHER (01)IASCL
0747410OTHER (01)IADAY HABILITATION

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
16D1003302
Facility Type
Other - RESIDENTIAL CARE FACILITY
Certificate Effective Date
August 27, 2024
Certificate Expiration Date
August 26, 2026
Laboratory Director
CATHY MCQUEEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Country Care Center, Corp to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for COUNTRY CARE CENTER, CORP

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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 1407070808, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
8
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 0 → 0 0 → 0 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 0 + 7 + 0 + 7 + 0 + 8 + 0 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1407070808.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407070808, enumerated as an "organization" on April 13, 2007.

The provider is located at 725 HIGHWAY 59 HARLAN, IA 51537 and the phone number is (712) 744-3453.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

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