The Country Cottage LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE COUNTRY COTTAGE LLC

Practice address

1851 W Ten Mile Rd
Cantonment, FL 32533-7758

Phone

(850) 476-1246

NPI assigned

Oct 8, 2020

Organization subpart

No

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

Authorized official

Name

Dabrina Lee Blocker, REGISTERED NURSE

Title

Owner/Operator

Phone

(850) 516-0400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1346847621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1962 WELL LINE RD",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325337807",
            "telephone_number": "850-516-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 W TEN MILE RD",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325337758",
            "telephone_number": "850-476-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COUNTRY COTTAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "BLOCKER",
        "authorized_official_first_name": "DABRINA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "850-516-0400",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Cantonment, FL
• Providers in Cantonment, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.