Country Living Management Company

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

360364 Issued in MN

Legal business name

COUNTRY LIVING MANAGEMENT COMPANY

Practice address

4000 County Road 15 SW
Montevideo, MN 56265-4005

Phone

(320) 269-9000

Fax

(320) 269-8008

NPI assigned

Feb 25, 2013

Organization subpart

No

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

Authorized official

Name

Luanne Gibson

Title

Ceo

Phone

32026990001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361750400000",
    "number": "1386984565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12335 13TH ST NW",
            "city": "SPICER",
            "state": "MN",
            "postal_code": "562889316",
            "telephone_number": "320-269-9000",
            "fax_number": "320-269-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 COUNTY ROAD 15 SW",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562654005",
            "telephone_number": "320-269-9000",
            "fax_number": "320-269-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY LIVING MANAGEMENT COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "LUANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "32026990001"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "360364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chippewa County Montevideo Hospital Dmerc
• Chiropractic Associates
• Paige Lynn Clausen
• Jill Condon
• Joshua David Cottle, LMT
• Brendon M Cullinan, M.D.
• Cheryl Curtiss
• Sheena Kay Dauer, DPT
• David Burrichter, DDS, PLLC
• Theresa Day, CCC-SLP

• All providers in Montevideo, MN
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.