COUNTRY OAK VILLAGE
NPI 1528211703
Assisted Living Facility in Grain Valley, MO

Q: What is Country Oak Village's NPI number?

The NPI number for Country Oak Village is 1528211703. It was assigned to this organization in the NPPES registry on October 31, 2008.

Q: What is Country Oak Village's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since October 31, 2008CLIA 26D2132743 · Waiver

101 CROSS CREEK DR, GRAIN VALLEY, MO 64029(816) 224-2700(816) 224-3335 Get Directions Write a Review

NPPES record last updated: October 31, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Country Oak Village NPPES

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

COUNTRY OAK VILLAGE (NPI 1528211703) is a healthcare organization registered as an assisted living facility in Grain Valley, Missouri and active in the NPI registry since October 2008. The organization holds a CLIA Waiver certificate valid through November 22, 2026 and lists Jennifer E Hamblin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1528211703

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCOUNTRY OAK VILLAGE

Location Address101 CROSS CREEK DRGrain Valley, MO 64029-9561

Mailing Address101 Cross Creek DrGrain Valley, MO 64029-9561 · (816) 224-2700 · Fax (816) 224-3335

Phone(816) 224-2700

Fax(816) 224-3335

Organization SubpartNo

Authorized OfficialJennifer E HamblinAdministrator · (816) 224-2700

Enumeration DateOctober 31, 2008

✔ NPI 1528211703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in MO · 034569

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

101 CROSS CREEK DR, Grain Valley, MO 64029

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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 26D2132743

Country Oak Village · Grain Valley, MO

Active · expires Nov 22, 2026

CLIA Number26D2132743

Laboratory TypeAssisted Living Facility

Certificate Effective DateNovember 23, 2024

Certificate Expiration DateNovember 22, 2026

Laboratory DirectorBobbi J. Runk

Laboratory Phone(816) 224-2700

Laboratory LocationCountry Oak Village101 Cross Creek Drive, Grain Valley, MO 64029

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 Oak Village's NPI number?

The NPI number for Country Oak Village is 1528211703. It was assigned to this organization in the NPPES registry on October 31, 2008.

Where is Country Oak Village located?

Country Oak Village is located at 101 Cross Creek Dr, Grain Valley, MO 64029. The listed phone number is (816) 224-2700.

What is Country Oak Village's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Country Oak Village hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2132743) is associated with this NPI, valid through November 22, 2026. 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 Oak Village was last updated on October 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.