COUNTRY MANOR CAMPUS LLC
NPI 1902795123
Assisted Living Facility in Sartell, MN
About Country Manor Campus Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COUNTRY MANOR CAMPUS LLC (NPI 1902795123), doing business as Country Manor Apartments, is a healthcare organization registered as an assisted living facility in Sartell, Minnesota and active in the NPI registry since July 2025. The organization holds a CLIA Waiver certificate valid through September 17, 2026, maintains a secondary practice location in Sartell, and lists Kevin G Harguth, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
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 24D0406036
Country Manor Campus LLC Country Manor Health Care And Rehab Center · Sartell, MNOther Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SARTELL, MN 56377
SARTELL, MN 56377
SARTELL, MN 56377
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 Manor Campus LLC's NPI number?
The NPI number for Country Manor Campus LLC is 1902795123. It was assigned to this organization in the NPPES registry on July 1, 2025. The provider is doing business as Country Manor Apartments.
Where is Country Manor Campus LLC located?
Country Manor Campus LLC is located at 520 1st St NE, Sartell, MN 56377. The listed phone number is (320) 253-1920.
What is Country Manor Campus LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Country Manor Campus LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 24D0406036) is associated with this NPI, valid through September 17, 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 Manor Campus LLC was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Country Manor Campus Llc · NPI 1902795123
Assisted Living Facility organization in Sartell, Minnesota. Organization record, active in the CMS NPPES registry since July 1, 2025.
## Identity
- **NPI:** 1902795123 (Entity type: Organization)
- **Enumerated:** July 1, 2025
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Also known as:** Country Manor Apartments (Doing Business As)
- **Organization subpart:** Yes (part of Country Manor Campus Llc)
- **Authorized official:** Kevin Harguth, CFO
## Practice location
- **Address:** 520 1ST ST NE, Sartell, MN 56377-1274
- **Phone:** (320) 253-1920
## Record status
- **NPPES last updated:** July 1, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1902795123) · Data from the CMS NPPES public registry.