COUNTRY AIRE OPCO, LLC (NPI# 1376014423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376014423 |
| Entity Type | Organization |
| Organization Name | COUNTRY AIRE OPCO, LLC |
| Practice Address |
18540 State Highway 16 Lewistown MO 63452-2111 |
| Mailing Address |
14c 53rd St Ste 220 Brooklyn NY 11232-2644 |
| Practice Telephone | 5732152216 |
| Mailing Telephone | 8775670402 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Authorized Official Name | SAM STERN (CFO) |
| Authorized Official Telephone | 8775670402 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Country Aire Retirement Center | Doing Business As Name - Organization |
| Street Address |
18540 STATE HIGHWAY 16 |
| City | LEWISTOWN |
| State | MO |
| Zip Code | 63452-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740273176 | Deaconess Long Term Care of Missouri, Inc. | Skilled Nursing Facility | 18540 State Highway 16, Lewistown, MO 63452-2111 | 2005-08-31 |
| 1295274785 | Country Aire Operations Management LLC | Assisted Living Facility | 18540 State Highway 16, Lewistown, MO 63452-2111 | 2017-02-16 |
| 1134548969 | Hailey Feldhaus | Speech-Language Pathologist | 18540 State Highway 16, Lewistown, MO 63452-2111 | 2014-04-09 |
| 1306147186 | Phca, LLC | Assisted Living Facility | 18540 State Highway 16, Lewistown, MO 63452-2111 | 2010-11-09 |
| 1164694576 | Karen Joy Abando Cordova | Physical Therapist | 18540 State Highway 16, Lewistown, MO 63452-2111 | 2008-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720339211 | Maureen L Tallman | Physical Therapy Assistant | 18540 Missouri 16, Lewistown, MO 63452 | 2012-09-25 |
| 1124290846 | Tanya Lee Jones | Social Worker | 105 East Quincy Street, Lewistown, MO 63452 | 2008-04-02 |
| 1427259514 | Quincy Medical Group Lewistown Rural Health | Durable Medical Equipment & Medical Supplies | 105 East Quincy St, Lewistown, MO 63452 | 2007-05-29 |
| 1528126687 | Alisha Elizabeth Schroeder | Physical Therapist | 22116 180th Ave, Lewistown, MO 63452 | 2006-12-04 |
| 1316055627 | Niemann Foods Inc | Pharmacy | 219 W Main, Lewistown, MO 63452 | 2006-08-27 |
| 1487901468 | Niemann Foods Inc | Pharmacy | 219 W Main St, Lewistown, IL 63452 | 2012-08-09 |
| 1124117494 | Gx2 LLC | Durable Medical Equipment & Medical Supplies | 102 E Main, Lewistown, MO 63452 | 2006-10-12 |
| 1609838630 | Lewis County Ambulance District | Ambulance | 100 Cherry Street, Lewistown, MO 63452-0218 | 2006-04-05 |
| 1477050268 | Michelle Ebeling | Speech-Language Pathologist | 25189 Heritage Ave, Lewistown, MO 63452-2351 | 2018-04-09 |
| 1033198759 | Herbert Eugene Childress | Family Medicine | 105 E Quincy St, Lewistown, MO 63452-2560 | 2006-01-11 |
| Find all providers in zip 63452 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336546811 | Empres At Lewistown, LLC | Skilled Nursing Facility | 410 Wendell Ave, Lewistown, MT 59457-2261 | 2014-11-26 |
| 1750332086 | Ggnsc Lewistown Lp | Skilled Nursing Facility | 163 Summit Dr, Lewistown, PA 17044-1245 | 2006-05-12 |
| 1154388684 | Diakon Lutheran Social Ministries | Skilled Nursing Facility | 276 Green Ave, Lewistown, PA 17044-2352 | 2006-04-27 |
| 1376504969 | Prairie View Care Center of Lewistown, Inc | Skilled Nursing Facility | 175 E Sycamore Dr, Lewistown, IL 61542-1749 | 2006-03-31 |
| 1720074958 | Central Montana Medical Facilities, Inc | Skilled Nursing Facility | 408 Wendell Ave, Lewistown, MT 59457-2261 | 2005-09-22 |
| 1740273176 | Deaconess Long Term Care of Missouri, Inc. | Skilled Nursing Facility | 18540 State Highway 16, Lewistown, MO 63452-2111 | 2005-08-31 |
| 1548716913 | Guardian Elder Care At Lewistown LLC | Skilled Nursing Facility | 163 Summit Dr, Lewistown, PA 17044-1245 | 2016-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609492719 | Ignite Medical Resort Independence LLC | Skilled Nursing Facility | 20511 E. Trinity Pl., Blue Springs, MO 64015 | 2020-06-24 |
| 1760006308 | Sunterra Dardenne Prairie Oc LLC | Skilled Nursing Facility | 7275 Highway N, Dardenne Prairie, MO 63368-7126 | 2020-05-29 |
| 1184247215 | Berry Medical Properties, LLC | Skilled Nursing Facility | 11380 Natural Bridge Rd, Bridgeton, MO 63044-2307 | 2020-05-23 |
| 1881249464 | Rolla Grand LLC | Skilled Nursing Facility | 1800 White Columns Dr, Rolla, MO 65401-2044 | 2019-08-09 |
| 1184276982 | Willow Health Care Inc | Skilled Nursing Facility | 712 Copper Rock Dr, Rogersville, MO 65742-8970 | 2019-07-11 |
| 1548734627 | Medicore Medical Service LLC | Skilled Nursing Facility | 2303 Kratky Rd Apt B, Saint Louis, MO 63114-1783 | 2019-01-11 |
| 1518436724 | Missouri Nursing & Rehab LLC | Skilled Nursing Facility | 783 Weber Road, Farmington, MO 63640-3318 | 2018-11-16 |
| 1982172342 | Arrowhead Retirement Operations LLC | Skilled Nursing Facility | 6100 Arrowhead Drive, Osage Beach, MO 65065 | 2018-11-05 |
| 1578039467 | Laverna Senior Living LLC | Skilled Nursing Facility | 904 S Hall Ave, Savannah, MO 64485-1952 | 2018-10-17 |
| 1093297152 | Community Care Center of Union Inc | Skilled Nursing Facility | 1080 Marie Lane, Union, MO 63084 | 2018-09-05 |
| 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.