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COUNTRY CLUB CARE
NPI 1689495954
Assisted Living Facility in Apple Valley, CA

Active since October 21, 2024
14675 TIGERTAIL RD, APPLE VALLEY, CA 92307(323) 491-9001 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Country Club Care NPPES

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

COUNTRY CLUB CARE (NPI 1689495954) is a healthcare organization registered as an assisted living facility in Apple Valley, California and active in the NPI registry since October 2024. The organization lists Rosie Oganesian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1689495954
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOUNTRY CLUB CARE
Location Address14675 TIGERTAIL RDApple Valley, CA 92307-5246
Mailing Address14675 Tigertail RdApple Valley, CA 92307-5246
Phone(323) 491-9001
Organization SubpartNo
Authorized OfficialRosie OganesianCeo · (323) 491-9001
Enumeration DateOctober 21, 2024
NPPES CertifiedOctober 20, 2024
✔ NPI 1689495954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.

14675 TIGERTAIL RD, Apple Valley, CA 92307
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Other Providers at the Same Location NPPES

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

ROSIE OGANESIAN
Assisted Living Facility
14675 TIGERTAIL RD
APPLE VALLEY, CA 92307
San Bernardino County (323) 491-9001

Frequently Asked Questions

What is COUNTRY CLUB CARE's NPI number?

The NPI number assigned to this healthcare provider is 1689495954, enumerated as an "organization" on October 21, 2024.

Where is the provider located?

The provider is located at 14675 TIGERTAIL RD APPLE VALLEY, CA 92307 and the phone number is (323) 491-9001.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.