Country Life Health Care Inc

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

620603 Issued in IA

Legal business name

COUNTRY LIFE HEALTH CARE INC

Practice address

2554 Ford Ave
Oskaloosa, IA 52577-8850

Phone

(641) 673-4447

Fax

(641) 673-4447

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Robert Keith Kelley

Title

Administrator

Phone

(641) 673-4447

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Allen Beers, DPM

  • Podiatrist
  • Oskaloosa, IA
  • NPI 1164413209
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508996901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2554 FORD AVE",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525778850",
            "telephone_number": "641-673-4447",
            "fax_number": "641-673-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2554 FORD AVE",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525778850",
            "telephone_number": "641-673-4447",
            "fax_number": "641-673-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY LIFE HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "641-673-4447",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "IA",
            "license": "620603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0895003",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harry Craig Coen, OD
• Jean Marie Coffin, RPH
• Ronald Benjamin Collins Jr., M.D.
• Ryan Joseph Collins
• Michelle Erin Connell, DPT, ATC
• Sean Crawford, DO
• Crossroads of Pella
• Danny R Crow, CADC
• Crystal Properties Inc.
• Anne Cunningham

• All providers in Oskaloosa, IA
• Custodial Care Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.