COUNTRY CARE INC. (NPI# 1831171453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831171453 |
| Entity Type | Organization |
| Organization Name | COUNTRY CARE INC. |
| Practice Address |
515 Dawson St Easton KS 66020-9200 |
| Practice Telephone | 9137735517 |
| Practice Fax Number | 9137735562 |
| Mailing Telephone | 9137735517 |
| Mailing Fax Number | 9137735562 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2012-01-18 |
| Authorized Official Name | MRS. TAMARA KELLY O'DONNELL (PRESIDENT, COUNTRY CARE, INC) |
| Authorized Official Telephone | 9137735517 |
| Authorized Official Credential | BSN, RN, MBA, AD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | N052002 | KS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100109970A | 05 |
| Street Address |
515 DAWSON ST |
| City | EASTON |
| State | KS |
| Zip Code | 66020-9200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972743409 | Karen S Hall | Physical Therapy Assistant | 515 Dawson St, Easton, KS 66020-9200 | 2009-02-24 |
| 1245432400 | Blaine Domann | Physical Therapy Assistant | 515 Dawson St, Easton, KS 66020-9200 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750615704 | Easton Usd 449 | Clinic/Center | 32502 Easton Rd, Easton, KS 66020-7260 | 2009-09-23 |
| 1952541476 | Mary Belle Morrell | Home Health | 31210 227th St, Easton, KS 66020-7308 | 2009-02-24 |
| 1457906596 | John Robert Glaves | Technician | 21750 Meagher Rd, Easton, KS 66020-7315 | 2019-08-06 |
| 1881682490 | Ccic LLC | Skilled Nursing Facility | 20379 Edwards Dr, Easton, KS 66020-8067 | 2005-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225237 | Scott Borkenhagen | Pharmacist | 3722 Nazareth Rd, Easton, PA 18045-8340 | 2020-11-05 |
| 1548861800 | Shevanie Latchmi Jallim | Optometrist | 3714 Nazareth Rd # 4, Easton, PA 18045-8357 | 2020-11-03 |
| 1770182370 | Jacqueline Michele Vrentas | Massage Therapist | 54 S 2nd St, Easton, PA 18042-3659 | 2020-10-23 |
| 1427657220 | Jonathan Robert Sligh | Student in an Organized Health Care Education/Training Program | 36 S Aurora St Apt A, Easton, MD 21601-3535 | 2020-10-22 |
| 1750980926 | Cultivating Change Counseling | Counselor | 641 N 13th St Ste E101, Easton, PA 18042-1430 | 2020-10-20 |
| 1114524626 | Umms Ambulatory Care LLC | Clinic/Center | 28522 Marlboro Ave Ste C, Easton, MD 21601-2792 | 2020-10-07 |
| 1487251195 | Shore Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8221 Teal Dr Ste 422, Easton, MD 21601-7212 | 2020-10-06 |
| 1225645518 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 723 Coal St, Easton, PA 18042-6556 | 2020-09-30 |
| 1093322380 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 990 Echo Trl, Easton, PA 18040-1014 | 2020-09-30 |
| 1720695141 | St. Luke's Physician Group, Inc. | Psychiatry & Neurology | 429 Reeder St, Easton, PA 18042-1731 | 2020-09-29 |
| Find all providers in EASTON | ||||
| 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 |
|---|---|---|---|---|
| 1730119876 | Integrace, Inc. | Skilled Nursing Facility | 501 Dutchmans Lane, Easton, MD 21601 | 2006-07-04 |
| 1912933466 | Hqm of Easton, LLC | Skilled Nursing Facility | 2125 Fairview Ave, Easton, PA 18042-3813 | 2006-06-25 |
| 1255387114 | Old Orchard Health Care Center-easton Pa, LLC | Skilled Nursing Facility | 4100 Freemansburg Ave, Easton, PA 18045-5540 | 2006-05-25 |
| 1700831013 | Manor Care of Easton Pa LLC | Skilled Nursing Facility | 2600 Northampton St, Easton, PA 18045-2656 | 2006-05-24 |
| 1609864859 | Easton Leasing Partnership | Skilled Nursing Facility | 500 Washington St, Easton, PA 18042-4434 | 2005-10-12 |
| 1447248638 | Easton Leasing Partnership | Skilled Nursing Facility | 498 Washington St, Easton, PA 18042-4432 | 2005-10-11 |
| 1881682490 | Ccic LLC | Skilled Nursing Facility | 20379 Edwards Dr, Easton, KS 66020-8067 | 2005-10-07 |
| 1386005965 | Maybrook-p Praxis Opco, LLC | Skilled Nursing Facility | 500 Washington St, Easton, PA 18042-4434 | 2016-03-10 |
| 1275994832 | Maybrook-p Easton Opco, LLC | Skilled Nursing Facility | 498 Washington St, Easton, PA 18042-4432 | 2016-03-10 |
| 1194064683 | New Eastwood Operator Lp | Skilled Nursing Facility | 2125 Fairview Ave, Easton, PA 18042-3813 | 2013-02-04 |
| Find all providers in EASTON | ||||
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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.