COUNTRY MEADOW PLACE LLC
NPI 1912076332
Assisted Living Facility in Mason City, IA
About Country Meadow Place Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COUNTRY MEADOW PLACE LLC (NPI 1912076332), doing business as Willow Pointe Residences Llc, is a healthcare organization registered as an assisted living facility in Mason City, Iowa and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Nicole Bown, Controller, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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 16D1061185
Country Meadow Place, LLC · Mason City, IAOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MASON CITY, IA 50401
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 Meadow Place LLC's NPI number?
The NPI number for Country Meadow Place LLC is 1912076332. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider was formerly known as Willow Pointe Residences LLC.
Where is Country Meadow Place LLC located?
Country Meadow Place LLC is located at 17396 Kingbird Ave, Mason City, IA 50401. The listed phone number is (641) 423-7722.
What is Country Meadow Place LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Country Meadow Place LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 16D1061185) is associated with this NPI, valid through November 12, 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 Meadow Place LLC was last updated on December 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Country Meadow Place Llc · NPI 1912076332
Assisted Living Facility organization in Mason City, Iowa. Organization record, active in the CMS NPPES registry since November 7, 2006.
## Identity
- **NPI:** 1912076332 (Entity type: Organization)
- **Enumerated:** November 7, 2006
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** No
- **Authorized official:** Nicole Bown, CONTROLLER
## Practice location
- **Address:** 17396 KINGBIRD AVE, Mason City, IA 50401-9251
- **Phone:** (641) 423-7722
## Record status
- **NPPES last updated:** December 26, 2013
- **Other identifiers:** Medicaid 0158840 (IA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1912076332) · Data from the CMS NPPES public registry.