Country Oak Village

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

034569 Issued in MO

Legal business name

COUNTRY OAK VILLAGE

Practice address

101 Cross Creek Dr
Grain Valley, MO 64029-9561

Phone

(816) 224-2700

Fax

(816) 224-3335

NPI assigned

Oct 31, 2008

Last updated

Oct 31, 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

Ms. Jennifer E Hamblin

Title

Administrator

Phone

(816) 224-2700

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1528211703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CROSS CREEK DR",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640299561",
            "telephone_number": "816-224-2700",
            "fax_number": "816-224-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CROSS CREEK DR",
            "city": "GRAIN VALLEY",
            "state": "MO",
            "postal_code": "640299561",
            "telephone_number": "816-224-2700",
            "fax_number": "816-224-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY OAK VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "HAMBLIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-224-2700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "034569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Conchola
• Julia Conner
• Vanessa Sue Coonce, M.S., CCC-SLP
• Cosentino Enterprises Inc (Price Chopper Pharmacy #325)
• Megan Costantini, M.S. CCC-SLP
• Katie R Craddock
• Tiffany Croft, RN, BSN, WHNP-BC
• Crosetti Health and Wellness Inc
• Crosetti Health and Wellness Inc (Crosetti's Pharmacy)
• Sean Michael Crosetti, PHARMD

• Assisted Living Facility in Grain Valley, MO
• Providers in Grain Valley, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.