Country Care Center, Corp in Harlan - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Country Care Center, Corp - NPI 1407070808
Country Care Center, Corp is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Harlan, Iowa. Country Care Center, Corp practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Country Care Center, Corp is 1407070808. The last update date is 2020-08-22.
Country Care Center, Corp's current location address is Po Box 351, Harlan, Iowa. You can contact this provider via phone number 7127443453 and fax number 7127443458. The mailing address for Country Care Center, Corp is Po Box 351, Harlan, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Country Care Center, Corp |
|---|---|
| Address | Po Box 351, Harlan, Iowa |
| Phone Number | 7127443453 |
| Fax Number | 7127443458 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Mcqueen Catherine |
| Telephone Number | 7127443453 |
NPI Number Detail
| NPI Number | 1407070808 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 351 |
|---|---|
| City | Harlan |
| State | Iowa (IA) |
| Post Code | 515370351 |
| Phone Number | 7127443453 |
| Fax Number | 7127443458 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | R390 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 735639 | IA | HCBS WAIVER | |
| 894006 | IA | -- | |
| 238410 | IA | SCL | |
| 747410 | IA | DAY HABILITATION |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Country Care Center, Corp by the Centers for Medicare & Medicaid Services?
The Country Care Center, Corp has been issued the NPI (National Provider Identifier) 1407070808 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Country Care Center, Corp is physically located?
The Country Care Center, Corp is situated at the following address: Po Box 351, Harlan, IA 515370351.
What is Country Care Center, Corp's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Country Care Center, Corp is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320900000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1407070808 to Country Care Center, Corp?
The Centers for Medicare & Medicaid Services assigned the 1407070808 to Country Care Center, Corp on 2007-04-13.
When was the information regarding Country Care Center, Corp, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Country Care Center, Corp, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.