Country Gardens, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

031521 Issued in MO

Legal business name

COUNTRY GARDENS, INC

Practice address

210 Franks LN
Cape Girardeau, MO 63701-8439

Phone

(573) 334-7679

Fax

(573) 334-8145

NPI assigned

Mar 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tomi Sample

Title

President

Phone

(573) 334-7679

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063540706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 FRANKS LN",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637018439",
            "telephone_number": "573-334-7679",
            "fax_number": "573-334-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 FRANKS LN",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637018439",
            "telephone_number": "573-334-7679",
            "fax_number": "573-334-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY GARDENS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMPLE",
        "authorized_official_first_name": "TOMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-334-7679"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "031521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornerstone Caregiving East LLC
• Abbie Coronado
• M Marie Corzine, MSN, RNC, NNP
• Christina Cossou, FNP
• Jennifer Cotner, APRN
• Reno R Cova, MD
• Cheyenne Cover, PLPC
• Sheila Cowell
• Adam Michael Cox, DO
• Cynthia M. Cox, PMHNP-BC

• Assisted Living Facility in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.