Country Care Holdings, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COUNTRY CARE HOLDINGS, LLC

Practice address

729 Browning Rd
Delano, CA 93215-9747

Phone

(661) 725-2501

Fax

(661) 725-2509

NPI assigned

Sep 28, 2017

Organization subpart

No

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

Authorized official

Name

Brandon David Bigelow

Title

Owner/Ceo

Phone

(559) 901-3147

Specialties & licenses 1

Addresses

Other names 1

• Invigorate Post Acute of Delano Doing business as

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506988800000",
    "number": "1790294247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 W MODOC CT",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932919384",
            "telephone_number": "559-901-3147",
            "fax_number": "559-713-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 BROWNING RD",
            "city": "DELANO",
            "state": "CA",
            "postal_code": "932159747",
            "telephone_number": "661-725-2501",
            "fax_number": "661-725-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY CARE HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-10-03",
        "status": "A",
        "authorized_official_last_name": "BIGELOW",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "559-901-3147"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Invigorate Post Acute of Delano",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Invigorate Post Acute of Delano",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald E Cornforth, MD
• Stephanie Corona
• Corrections and Rehabilitation-Headquarters
• Corrections and Rehabilitation-Headquarters
• Aanastacia Dayag Cortes
• Agnes Cregar, CRNA
• Felix Cruz, LMFT
• Carl M. Cunanan, D.C.
• Alexandrea Cuntapay
• Kristen Marie Queja Dacuycuy, FNP, RN

• Skilled Nursing Facility in Delano, CA
• Providers in Delano, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; 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.