Country View Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

000716 Issued in TX

Legal business name

COUNTRY VIEW CARE HOME

Practice address

1060 W FM 462
Moore, TX 78057-3505

Phone

(830) 665-6068

Fax

(830) 663-5232

NPI assigned

Nov 1, 2006

Last updated

Jul 10, 2008By 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

Rhonda L Korczynski

Title

Owner

Phone

(830) 665-6068

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1417035346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 186",
            "city": "MOORE",
            "state": "TX",
            "postal_code": "780570186",
            "telephone_number": "830-665-6068",
            "fax_number": "830-663-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 W FM 462",
            "city": "MOORE",
            "state": "TX",
            "postal_code": "780573505",
            "telephone_number": "830-665-6068",
            "fax_number": "830-663-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY VIEW CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "KORCZYNSKI",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-665-6068"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "000716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Sue Bluestone, LVN
• Maykoll Garrido
• Rebecca Kelley, LPC
• Chelsea Real, OTR/L
• Thompson Healthcare Provider Services LLC

• Assisted Living Facility in Moore, TX
• Providers in Moore, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.