Country Cottage - RCL, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ACL0000000168 Issued in TN

Legal business name

COUNTRY COTTAGE - RCL, LLC

Doing business as

Country Cottage

Practice address

469 Weakley Creek Rd
Lawrenceburg, TN 38464-5327

Phone

(931) 766-0660

NPI assigned

May 30, 2013

Organization subpart

No

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

Authorized official

Name

Cliff White

Title

President

Phone

(256) 536-5992

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Country Cottage Doing business as

Locations

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1285071282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 WEAKLEY CREEK RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384645327",
            "telephone_number": "931-766-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 WEAKLEY CREEK RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384645327",
            "telephone_number": "931-766-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY COTTAGE - RCL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-536-5992"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "ACL0000000168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01323935",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "A3846400",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1285071282",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445176",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Cottage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Renea Corbin
• Cornerstone Family Medical
• April Marston Cothren, RN
• Hailey Elizabeth Cothren, FNP-C
• Cottages Lawrenceburg, LLC (Country Cottage)
• Countryside TN Opco LLC (Countryside Health and Rehabilitation)
• Countryside TN Rehab LLC (Countryside Post-Acute and Rehabilitation Center)
• County of Lawrence (Lawrence County Ambulance Service)
• Kimberly Ann Crain
• Paisley Crane

• Assisted Living Facility in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Assisted Living Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.