Country Club Operator LLC
Skilled Nursing Facility in Warrensburg, Missouri
1104584416- Practice location
- 503 Regent Dr, Warrensburg, MO 64093-3231
- Phone
- 660-429-4444
- Fax
- —
- Last updated
- December 3, 2021
Country Club Operator LLC is a healthcare organization based in Warrensburg, MO. Country Club Operator LLC practices in Warrensburg, MO. The NPI Number for Country Club Operator LLC is 1104584416. The current practice location address for Country Club Operator LLC is 503 Regent Dr, Warrensburg, MO 64093-3231 and can be reached out via phone at 660-429-4444.
Provider Profile Details
- NPI Number
- 1104584416
- Provider Name
- Country Club Operator LLC
- Provider Entity Type
- Organization
- Address
- 503 Regent Dr, Warrensburg, MO 64093-3231
- Phone Number
- 660-429-4444
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Mr. Jacques Wolf · Manager · 908-421-1184
- Other Names
- Country Club Rehab And Healthcare Center (Doing Business As)
- Provider Enumeration Date
- December 3, 2021
- Last Update Date
- December 3, 2021
- Certification Date
- November 21, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 503 Regent Dr
Warrensburg, MO 64093-3231 - City
- Warrensburg
- State
- Missouri
- Zip
- 64093-3231
- Phone Number
- 660-429-4444
Provider Business Mailing Address Details
- Address
- 311 Boulevard Of The Americas
Suite 201
Lakewood, NJ 08701 - City
- Lakewood
- State
- NJ
- Zip
- 08701
- Phone Number
- 908-621-1184
License Information
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Skilled Nursing Facility providers near Warrensburg, MO
View all Skilled Nursing Facility providers in Warrensburg →Frequently Asked Questions
What is the NPI number of Country Club Operator LLC?
The NPI number of Country Club Operator LLC is 1104584416. It was assigned on December 3, 2021 and is currently active in the NPPES registry.
What is the specialty of Country Club Operator LLC?
Country Club Operator LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).
Where does Country Club Operator LLC practice?
The practice location is 503 Regent Dr, Warrensburg, MO 64093-3231. The office can be reached at 660-429-4444 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104584416 directly on the NPPES registry website.