Country Care Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COUNTRY CARE ASSISTED LIVING

Practice address

4735 W Ludington Dr
Farwell, MI 48622-9796

Phone

(989) 588-2052

NPI assigned

Sep 9, 2024

Organization subpart

No

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

Authorized official

Name

Rachel Tiffany Fauth

Title

Administrator/ Owner

Phone

(989) 430-8117

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1548095565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 W LUDINGTON DR",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229796",
            "telephone_number": "989-430-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 W LUDINGTON DR",
            "city": "FARWELL",
            "state": "MI",
            "postal_code": "486229796",
            "telephone_number": "989-588-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY CARE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-08",
        "status": "A",
        "authorized_official_last_name": "FAUTH",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "TIFFANY",
        "authorized_official_title_or_position": "ADMINISTRATOR/ OWNER",
        "authorized_official_telephone_number": "989-430-8117"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quinci Anne Butler
• Stacy Carstensen, FNP
• Central Michigan Family Practice
• Molly Marie Clark, DNP, FNP-C
• Colleen Quesada DMD PLLC
• Sharon Lynn Dewey
• Lacie K Dewitt, RBT
• Jodi Ann Drenth, DNP
• Eagle Pharmacy of Farwell PC
• Eagle Pharmacy of Farwell PC

• Assisted Living Facility in Farwell, MI
• Providers in Farwell, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.