Country Oaks Care Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COUNTRY OAKS CARE CENTER, INC

Practice address

830 E Chapel St
Santa Maria, CA 93454-4610

Phone

(805) 922-6657

Fax

(805) 928-9283

NPI assigned

Jun 21, 2005

Last updated

Aug 22, 2020By 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. Sharon L Henning

Title

Assistant Administrator

Phone

(805) 922-6657

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922004407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 E CHAPEL ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544610",
            "telephone_number": "805-922-6657",
            "fax_number": "805-928-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 E CHAPEL ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544610",
            "telephone_number": "805-922-6657",
            "fax_number": "805-928-9283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY OAKS CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENNING",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "805-922-6657",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT05826H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Burley Cotter, MD
• David Michael Cottrell, D.D.S.
• Patrick Augustine Coughlin, MD
• Council of Alcoholism and Drug Abuse (Cada)
• Council on Alcoholism and Drug Abuse
• County Mental Health Clinic
• County of Santa Admhs
• County of Santa Barbara
• County of Santa Barbara, Mental Health
• Dustin Eli Coupland

• Skilled Nursing Facility in Santa Maria, CA
• Providers in Santa Maria, 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 Aug 22, 2020; 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.