COUNTRY LIVING CARE CENTER (NPI# 1033376603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033376603 |
| Entity Type | Organization |
| Organization Name | COUNTRY LIVING CARE CENTER |
| Practice Address |
2840 K Ave Toledo IA 52342-9405 |
| Practice Telephone | 6414843561 |
| Practice Fax Number | 6414843651 |
| Mailing Telephone | 6414843561 |
| Mailing Fax Number | 6414843651 |
| Enumeration Date | 2008-05-20 |
| Last Update Date | 2008-05-20 |
| Authorized Official Name | MS. TERRI L MAYO (ADMINISTRATOR) |
| Authorized Official Telephone | 6414843561 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
R419 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0894188 | 05 |
| Street Address |
2840 K AVE |
| City | TOLEDO |
| State | IA |
| Zip Code | 52342-9405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528116209 | Tama County Case Management | Case Manager/Care Coordinator | 211 W. State St., Toledo, IA 52342 | 2007-01-08 |
| 1962507046 | Patricia Marie Kline | Social Worker | 1309 S Broadway, Toledo, IA 52342 | 2006-09-14 |
| 1093262560 | Seitz Family Chiropractic, LLC | Chiropractor | 507 S County Rd, Toledo, IA 52342 | 2016-09-01 |
| 1164527248 | Mental Health Clinic of Tama County Iowa Inc | Clinic/Center | 1309 S Broadway, Toledo, IA 52342 | 2006-09-14 |
| 1790850741 | Central Iowa Family Planning Inc. | Nurse Practitioner | 507 S County Rd, Toledo, IA 52342-1021 | 2006-11-22 |
| 1477900249 | Giovanna Seitz | Chiropractor | 507 S County Rd, Toledo, IA 52342-1021 | 2016-05-20 |
| 1194724344 | Toledo Emergency Services | Ambulance | 100 S County Rd, Toledo, IA 52342-1056 | 2005-07-19 |
| 1295788891 | Shopko Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 1006 S County Rd, Toledo, IA 52342-1062 | 2006-05-18 |
| 1952866014 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 1006 S County Rd, Toledo, IA 52342-1062 | 2019-02-04 |
| 1295732675 | Tama County Administrative Offices | Home Health | 129 W High St, Toledo, IA 52342-1319 | 2005-06-30 |
| Find all providers in zip 52342 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225507304 | Shirleen Barbara Ross | Custodial Care Facility | 3315 Mayo St Apt 111, Toledo, OH 43611-3260 | 2018-11-18 |
| 1952774556 | Charael Leiasha Smith | Custodial Care Facility | 3549 Hilltop Blvd, Toledo, OH 43607-2678 | 2015-11-04 |
| 1629458864 | Chi National Home Care | Custodial Care Facility | 3231 Central Park West, Suite 108, Toledo, OH 43617-3009 | 2015-06-03 |
| 1245572106 | Franciscan Homecare Services of Northwest Ohio | Custodial Care Facility | 5942 Renaissance Pl Ste A, Toledo, OH 43623-4716 | 2013-03-19 |
| 1669714473 | Franciscan Homecare Services of Miami Valley LLC | Custodial Care Facility | 5942 Renaissance Pl Ste A, Toledo, OH 43623-4716 | 2013-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952510281 | Emeritus Properties II, Inc | Custodial Care Facility | 136 36th Avenue Sw, Cedar Rapids, IA 52404-4638 | 2007-05-22 |
| 1518086420 | Diamond Life Health Care, Inc. | Custodial Care Facility | 4912 Barnes City Rd, Montezuma, IA 50171-8544 | 2007-03-29 |
| 1750412672 | Proffitt's Residential | Custodial Care Facility | 615 West Washington St, Centerville, IA 52544-1623 | 2007-03-09 |
| 1871640144 | Legacy House LLC | Custodial Care Facility | 207 E Salem Ave, Indianola, IA 50125-2621 | 2007-01-05 |
| 1790842615 | Keokuk Area Group Home | Custodial Care Facility | 317 High St, Keokuk, IA 52632-5939 | 2007-01-02 |
| 1063578359 | Gbgb Lc Dba Briarwood Care Center | Custodial Care Facility | 416 S Clark St, Maquoketa, IA 52060-3226 | 2006-12-29 |
| 1285797415 | Comprehensive Systems, Inc | Custodial Care Facility | 818 N 7th St, Osage, IA 50461-1360 | 2006-12-19 |
| 1679636740 | Comprehensive Systems, Inc. | Custodial Care Facility | 841 W Main St, New Hampton, IA 50659-1005 | 2006-12-19 |
| 1780747915 | Comprehensive Systems, Inc | Custodial Care Facility | 702 Elm Street, Elma, IA 50628 | 2006-12-19 |
| 1144383464 | Comprehensive Systems, Inc | Custodial Care Facility | 695 S Illinois Ave, Mason City, IA 50401-5405 | 2006-12-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.