COUNTRY MANOR CAMPUS LLC
NPI 1912896135
Assisted Living Facility in Sartell, MN

Active since July 01, 2025
520 1ST ST NE, SARTELL, MN 56377(320) 253-1920 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Country Manor Campus Llc NPPES

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

COUNTRY MANOR CAMPUS LLC (NPI 1912896135), doing business as The Country Villa, is a healthcare organization registered as an assisted living facility in Sartell, Minnesota and active in the NPI registry since July 2025. The organization maintains a secondary practice location in Sartell and lists Kevin G. Harguth, Cfo, as its authorized official.

NPPES Registry Identity

NPI1912896135
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOUNTRY MANOR CAMPUS LLC
Location Address520 1ST ST NESartell, MN 56377-1274
Mailing Address520 1st St NeSartell, MN 56377-1274 · (320) 253-1920
Organization SubpartYes
Authorized OfficialKevin G. HarguthCfo · (320) 258-8983
Enumeration DateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
NPI 1912896135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedHome HealthTaxonomy 251E00000X
520 1ST ST NE, Sartell, MN 56377

Other Names 1

Doing Business AsThe Country Villa

Secondary Practice Location 1

Location 1504 1st St NESartell, MN 56377-1273 · Phone (320) 253-1920

Other Providers at the Same Location NPPES 12

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

Pharmacy (Long Term Care Pharmacy)
520 1ST ST NE, SUITE A
SARTELL, MN 56377
Home Health
520 1ST ST NE
SARTELL, MN 56377
Home Health
520 1ST ST NE
SARTELL, MN 56377
Pharmacy (Community/Retail Pharmacy)
520 1ST ST NE
SARTELL, MN 56377
Pharmacist
520 1ST ST NE
SARTELL, MN 56377
Non-emergency Medical Transport (VAN)
520 1ST ST NE
SARTELL, MN 56377
Pharmacy (Long Term Care Pharmacy)
520 1ST ST NE, SUITE A
SARTELL, MN 56377
Occupational Therapist
520 1ST ST NE
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 1912896135. It was assigned to this organization in the NPPES registry on July 1, 2025. The provider is doing business as The Country Villa.

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.

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.