Country Aire Retirement Estates

LBN: Phca, Llc
Country Aire Retirement Estates is an health care organization with primary practice located at 18540 State Highway 16 , Lewistown MO 63452-2111. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Phca, Llc can be contacted via phone (573) 215-2216, or through Klein, Benjamin via phone (847) 329-4100.

Contact Information

Primary practice address
18540 State Highway 16 Lewistown MO 63452-2111
Phone: (573) 215-2216
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Klein, Benjamin
Phone: (847) 329-4100

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1306147186
LBN Legal business name Phca, Llc
DBA Doing business as Country Aire Retirement Estates
Authorized official Klein, Benjamin
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2010
Last updated Apr 15th, 2015 - about 9 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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