Country Oaks

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COUNTRY OAKS

Practice address

544 W Nido Ave
Mesa, AZ 85210-7572

Phone

(815) 721-1189

NPI assigned

Jan 2, 2026

Last updated

Jan 2, 2026By 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

Jessica SongNPI 1326776477

Title

Owner/Manager

Phone

(815) 721-1189

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Song

  • Physical Therapist
  • Casa Grande, AZ
  • NPI 1326776477
  NPD Authorized official

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

{
    "created_epoch": "1767312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1427914423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 W LACEWOOD PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850450813",
            "telephone_number": "815-721-1189",
            "fax_number": "480-656-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 W NIDO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852107572",
            "telephone_number": "815-721-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY OAKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-02",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "815-721-1189"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Country Club Chiropractic LLC
• Country Club Dental Inc.
• Country Club Dental Management Co, PC
• Country Club Medical Group P C (Southeast Valley Medical Group)
• Country Club Medical Weight Loss & Wellness PLLC
• Cherise Courtright
• Pete S Coury, MD
• Blaine Rodney Couser, DDS, MS
• Taylor Faith Cova
• Virna M Covarrubias, PA-C

• Assisted Living Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.