COUNTRY OAKS – NPI #1427914423
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Health Care Provider Taxonomy Code for Assisted Living Facility

COUNTRY OAKS is an assisted living facility located in MESA, AZ. NPPES has assigned the NPI number 1427914423 to COUNTRY OAKS on January 02, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COUNTRY OAKS below.

NPI Profile for
COUNTRY OAKS

NPI Number
1427914423
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COUNTRY OAKS
Primary location
544 W NIDO AVE
MESA, AZ 85210-7572
Phone: (815) 721-1189 Fax:
Mailing address
1640 W LACEWOOD PL
PHOENIX, AZ 85045-0813
Phone: (815) 721-1189 Fax: (480) 656-7676
Organization Subpart
No
Authorized Official
JESSICA SONG
OWNER/MANAGER
Phone: (815) 721-1189
Updated
Certification Date
Jan 02, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
310400000X
- Assisted Living Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.