Organization Active NPI

Country Cottage Nursing Operations, LLC

  • Skilled Nursing Facility
  • Hobbs, NM
National Provider Identifier
1477752749
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1060 Issued in NM
Legal business name
COUNTRY COTTAGE NURSING OPERATIONS, LLC
Doing business as
Country Cottage Care and Rehabilitation Center
Practice address
2101 N Bensing Rd
Hobbs, NM 88240-9254
Phone
(505) 397-1113
Fax
(505) 319-9180
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Charles Harrington
Title
President
Phone
(817) 335-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1060 NM Primary

Addresses

Primary practice location

2101 N Bensing Rd
Hobbs, NM 88240-9254

Mailing address

306 W 7TH St Ste 415
Fort Worth, TX 76102-4905

Other identifiers 1

IdentifierTypeStateIssuer
85207551MedicaidNM

Other names 1

  • Country Cottage Care and Rehabilitation Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1477752749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W 7TH ST STE 415",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N BENSING RD",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882409254",
            "telephone_number": "505-397-1113",
            "fax_number": "505-319-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY COTTAGE NURSING OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-335-4111"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "1060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85207551",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country Cottage Care and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hobbs, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.