Country Inn Retirement Home, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

COUNTRY INN RETIREMENT HOME, INC.

Practice address

1109B la Grande Ave
Napa, CA 94558-2127

Phone

(707) 252-3392

Fax

(707) 252-8799

NPI assigned

Oct 16, 2024

Last updated

Oct 16, 2024By 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

Alex Grant Macaraig

Title

Owner

Phone

(707) 363-8762

Specialties & licenses 1

Addresses

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.

• Carolina Macaraig Paz, RN BSN PHN

  • Professional Counselor
  • Napa, CA
  • NPI 1700125721
  NPD (past)

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1861212698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109B LA GRANDE AVE",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582127",
            "telephone_number": "707-252-3392",
            "fax_number": "707-252-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109B LA GRANDE AVE",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582127",
            "telephone_number": "707-252-3392",
            "fax_number": "707-252-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY INN RETIREMENT HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "MACARAIG",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-363-8762"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melissa Costilla
• Adele Cotter, RN
• James C. Cotter, MD
• County of Napa
• County of Napa
• County of Napa
• County of Napa
• County of Napa

• Adult Care Home Facility in Napa, CA
• Providers in Napa, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.