Country Home Comforts LLC

Key facts

NPI

1942584347

Entity type

Organization (NPI type 2)

Primary specialty

Assisted Living Facility 310400000X

License

CLASSF349194 (MN)

Legal business name

COUNTRY HOME COMFORTS LLC

Practice address

2656 Rainbow Street
Country Home Comforts LLC
Brook Park, MN 55007

Phone

(320) 679-2847

NPI assigned

Oct 4, 2011

Organization subpart

No

Authorized official

Name

Ms. Barbara Lee Steiner, M.S.

Title

Administrator

Phone

(320) 679-2847

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 4, 2011.

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1942584347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1784 OLYMPIC STREET",
            "city": "MORA",
            "state": "MN",
            "postal_code": "55051",
            "telephone_number": "320-679-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2656 RAINBOW STREET",
            "address_2": "COUNTRY HOME COMFORTS LLC",
            "city": "BROOK PARK",
            "state": "MN",
            "postal_code": "55007",
            "telephone_number": "320-679-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY HOME COMFORTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "STEINER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "320-679-2847",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "CLASSF349194",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "HWS350777",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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