COUNTRY LIFE HEALTH CARE INC (NPI# 1508996901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508996901 |
| Entity Type | Organization |
| Organization Name | COUNTRY LIFE HEALTH CARE INC |
| Practice Address |
2554 Ford Ave Oskaloosa IA 52577-8850 |
| Practice Telephone | 6416734447 |
| Practice Fax Number | 6416734447 |
| Mailing Telephone | 6416734447 |
| Mailing Fax Number | 6416734447 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT KEITH KELLEY (ADMINISTRATOR) |
| Authorized Official Telephone | 6416734447 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 620603 | IA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0895003 | 05 |
| Street Address |
2554 FORD AVE |
| City | OSKALOOSA |
| State | IA |
| Zip Code | 52577-8850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245870781 | Arthur Zacharjasz | Nurse Practitioner | 1229 C Ave E, Oskaloosa, Ia 52577, Oskaloosa, IA 52577 | 2020-01-13 |
| 1306373089 | Kristal Williams | Counselor | 114 N. Market St., Oskaloosa, IA 52577 | 2017-05-12 |
| 1801345830 | Kristi Lyn Foster | Hearing Instrument Specialist | 714 A Ave West, Oskaloosa, IA 52577 | 2016-10-03 |
| 1972811198 | Crossroads of Pella | Community/Behavioral Health | 103 North 3rd Street, Oskaloosa, IA 52577 | 2010-09-22 |
| 1184809477 | Carli Raye Hahn | Psychologist | 814 2nd Ave East, Oskaloosa, IA 52577 | 2008-01-04 |
| 1982824173 | Laura Adam | Dentist | 2335 Hwy 92 E, Oskaloosa, IA 52577 | 2007-04-27 |
| 1891910881 | Homestead of Oskaloosa Operations LLC | Assisted Living Facility | 2102 South Market Street, Oskaloosa, IA 52577 | 2007-04-16 |
| 1194891374 | Karen Anne Spahr | Internal Medicine | 1203 A Ave East, Oskaloosa, IA 52577 | 2006-11-28 |
| 1376626648 | Wal-mart Stores, Inc. | Technician/Technologist | 2203 Avenue A West, Oskaloosa, IA 52577 | 2006-10-23 |
| 1003913229 | Heartland Home Care Inc | Home Health | 212 North Market Street, Oskaloosa, IA 52577 | 2006-09-20 |
| Find all providers in zip 52577 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013375310 | Lan Silver Pines LLC | Custodial Care Facility | 136 36th Ave Sw, Cedar Rapids, IA 52404-4638 | 2016-02-02 |
| 1093105975 | Shellsburg Associates | Custodial Care Facility | 401 Canton St Nw, Shellsburg, IA 52332-9624 | 2015-01-29 |
| 1760686067 | Mitchell County Care Facility | Custodial Care Facility | 3834 March Ave, Osage, IA 50461-8372 | 2007-06-12 |
| 1528261286 | Pursuit of Independence | Custodial Care Facility | 104 West Ohio, Lenox, IA 50851 | 2007-06-08 |
| 1538360151 | Morse Enterprises Inc | Custodial Care Facility | 2876 230th St, Sidney, IA 51652-6086 | 2007-05-30 |
| 1992832356 | Insight Human Services | Custodial Care Facility | 915 South Iris Street, Suite 101, Mt Pleasant, IA 52641 | 2007-02-27 |
| 1588709976 | Country View Estates, Inc. | Custodial Care Facility | 2345 Redwood Ave, Guthrie Center, IA 50115-8888 | 2007-02-21 |
| 1760524763 | Community Memorial Health Center | Custodial Care Facility | 611 3rd St Ne, Hartley, IA 51346-1262 | 2007-02-13 |
| 1861534265 | Makee Manor Inc | Custodial Care Facility | 877 Highway 9, Waukon, IA 52172-7757 | 2007-02-13 |
| 1215080635 | Hillside Estate Inc | Custodial Care Facility | 2227 225th St, Williamsburg, IA 52361-8503 | 2007-01-19 |
| 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.