Country Cottage, Inc

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

1312147-0140 Issued in UT

Legal business name

COUNTRY COTTAGE, INC

Practice address

1240 E 100 S Ste 202
St George, UT 84790-3077

Phone

(435) 673-2211

Fax

(435) 673-1241

NPI assigned

May 28, 2010

Last updated

May 28, 2010By 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

Mrs. Suzette Middleton

Title

Adminstrative Director

Phone

(435) 673-2211

Specialties & licenses 1

Addresses

Locations

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.

• Alesa Allred

  • Behavior Analyst
  • St George, UT
  • NPI 1407160732
  NPD (past)

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1548589583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E 100 S #202",
            "city": "ST. GEORGE",
            "state": "UT",
            "postal_code": "84790",
            "telephone_number": "435-673-2211",
            "fax_number": "435-673-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E 100 S STE 202",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847903077",
            "telephone_number": "435-673-2211",
            "fax_number": "435-673-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY COTTAGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "MIDDLETON",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_title_or_position": "ADMINSTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "435-673-2211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "UT",
            "license": "1312147-0140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foster Care Agency in St George, UT
• Providers in St George, UT by specialty
• Foster Care Agency in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.