Country Care Center, Corp

LBN: Country Care Center, Corp
Country Care Center, Corp is an health care organization with primary practice located at 725 Highway 59 , Harlan IA 51537-6709. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Country Care Center, Corp can be contacted via phone (712) 744-3453, or through Mcqueen, Catherine via phone (712) 744-3453.

Contact Information

Primary practice address
725 Highway 59 Harlan IA 51537-6709
Phone: (712) 744-3453
Fax: (712) 744-3458
Website:
Map and Directions
Authorized official contact:
Name: Mcqueen, Catherine
Phone: (712) 744-3453

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X R390 Iowa
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X R390 Iowa

Profile Details

NPI number 1407070808
LBN Legal business name Country Care Center, Corp
DBA Doing business as
Authorized official Mcqueen, Catherine
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407070808 NPPES
Iowa Other 0735639 HCBS WAIVER
Iowa MEDICAID 0894006 HCBS WAIVER
Iowa Other 0238410 HCBS WAIVER
Iowa Other 0747410 HCBS WAIVER

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