Country Estates Inc

LBN: Country Estates Inc
Country Estates Inc is an health care organization with primary practice located at 240 Peregrine Drive , Fairbanks AK 99712. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Country Estates Inc can be contacted via phone (907) 457-3594, or through Jachim, Judith via phone (907) 457-3594.

Contact Information

Primary practice address
240 Peregrine Drive Fairbanks AK 99712
Phone: (907) 457-3594
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jachim, Judith
Phone: (907) 457-3594

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 000222 Alaska

Profile Details

NPI number 1588871628
LBN Legal business name Country Estates Inc
DBA Doing business as
Authorized official Jachim, Judith
Entity Organization
Organization subpart 1 No
Enumeration date May 17th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1588871628 NPPES
Alaska MEDICAID RL68071

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