COUNTRY CLUB CARE CENTER OF WARRENSBURG – NPI #1013904069
Skilled Nursing Facility

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

COUNTRY CLUB CARE CENTER OF WARRENSBURG is a skilled nursing facility (SNF) located in WARRENSBURG, MO. NPPES has assigned the NPI number 1013904069 to COUNTRY CLUB CARE CENTER OF WARRENSBURG on October 04, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “COUNTRY CLUB CARE CENTER OF WARRENSBURG” is a dba name, the actual legal business name for this organization is COUNTRY CLUB CARE CENTER OF WARRENSBURG, L.C.. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

The NPI profile was previously updated about 15 years ago on Nov 17, 2011. 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 CLUB CARE CENTER OF WARRENSBURG below.

NPI Profile for
COUNTRY CLUB CARE CENTER OF WARRENSBURG, L.C.

NPI Number
1013904069
Enumeration Date

(more than 20 years 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 CLUB CARE CENTER OF WARRENSBURG, L.C.
Doing Business As (dba): COUNTRY CLUB CARE CENTER OF WARRENSBURG
Primary location
503 REGENT DR
WARRENSBURG, MO 64093-3231
Phone: (660) 429-4444 Fax: (660) 429-4331
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEVE BUNCH
VICE PRESIDENT OF OPERATIONS
Phone: (660) 429-4444
Updated
Identifiers

Identifiers for COUNTRY CLUB CARE CENTER OF WARRENSBURG

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO108240805
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
314000000X
- Skilled Nursing Facility (Primary)
MO 035593

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.