1. Home
  2. Directory
  3. Oklahoma
  4. Muskogee
  5. Assisted Living Facility
  6. NPI Profile

COUNTRY GARDENS
NPI 1841411972
Assisted Living Facility in Muskogee, OK

Active since May 02, 2007CLIA 37D2190508 · Waiver
611 S. COUNTRY CLUB ROAD, MUSKOGEE, OK 74403(918) 686-8100 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Country Gardens NPPES

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

COUNTRY GARDENS (NPI 1841411972) is a healthcare organization registered as an assisted living facility in Muskogee, Oklahoma and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 13, 2026 and lists Jon Harder, Manager, as its authorized official.

NPPES Registry Identity

NPI1841411972
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOUNTRY GARDENS ASSISTED LIVING, LLC
Location Address611 S. COUNTRY CLUB ROADMuskogee, OK 74403
Mailing Address3723 Fairview Industrial Dr Se, Suite 270Salem, OR 97302 · (503) 485-4600
Phone(918) 686-8100
Organization SubpartNo
Authorized OfficialJon HarderManager · (503) 485-4600
Enumeration DateMay 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1841411972 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.
611 S. COUNTRY CLUB ROAD, Muskogee, OK 74403
Open in Google Maps ↗

Other Names 1

Doing Business AsCountry Gardens

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 37D2190508

Country Gardens Assisted Living · Muskogee, OK
Active · expires Aug 13, 2026
CLIA Number37D2190508
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 14, 2024
Certificate Expiration DateAugust 13, 2026
Laboratory DirectorStephanie D. Kusler
Laboratory Phone(918) 686-8100
Laboratory LocationCountry Gardens Assisted Living611 S Country Club Rd, Muskogee, OK 74403
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 Gardens Assisted Living, LLC's NPI number?

The NPI number for Country Gardens Assisted Living, LLC is 1841411972. It was assigned to this organization in the NPPES registry on May 2, 2007. The provider is doing business as Country Gardens.

Where is Country Gardens Assisted Living, LLC located?

Country Gardens Assisted Living, LLC is located at 611 S. Country Club Road, Muskogee, OK 74403. The listed phone number is (918) 686-8100.

What is Country Gardens Assisted Living, LLC's specialty?

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

Does Country Gardens Assisted Living, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2190508) is associated with this NPI, valid through August 13, 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 Gardens Assisted Living, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.