COUNTRY MANOR EXTENDED SERVICES - WOODCREST
NPI 1942763313
Home Health in Saint Joseph, MN

Active since April 11, 2019
1200 LANIGAN WAY SW, SAINT JOSEPH, MN 56374(320) 253-3343(320) 240-0244 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 30, 2021, Apr 11, 2019 (2 updates tracked since 2019).

About Country Manor Extended Services - Woodcrest NPPES

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

COUNTRY MANOR EXTENDED SERVICES - WOODCREST (NPI 1942763313) is a healthcare organization registered as a home health in Saint Joseph, Minnesota and active in the NPI registry since April 2019. The organization lists Kevin Harguth, C.f.o., as its authorized official.

NPPES Registry Identity

NPI1942763313
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCOUNTRY MANOR CAMPUS LLC
Location Address1200 LANIGAN WAY SWSaint Joseph, MN 56374-4732
Mailing Address520 1st St NeSartell, MN 56377-1274 · (320) 258-8983
Fax(320) 240-0244
Organization SubpartYes
Authorized OfficialKevin HarguthC.f.o. · (320) 258-8983
Enumeration DateApril 11, 2019
Last NPPES UpdateJune 30, 20212 updates tracked since enumeration
NPPES CertifiedJune 30, 2021
NPI 1942763313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1200 LANIGAN WAY SW, Saint Joseph, MN 56374

Other Names 1

Doing Business AsCountry Manor Extended Services - Woodcrest

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 1942763313. It was assigned to this organization in the NPPES registry on April 11, 2019. The provider is doing business as Country Manor Extended Services - Woodcrest.

Where is Country Manor Campus LLC located?

Country Manor Campus LLC is located at 1200 Lanigan Way SW, Saint Joseph, MN 56374. The listed phone number is (320) 253-3343.

What is Country Manor Campus LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Country Manor Campus LLC was last updated on June 30, 2021. 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.