COUNTRY ROAD OPERATIONS LLC – NPI #1073109112
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

COUNTRY ROAD OPERATIONS LLC is a substance abuse rehabilitation facility located in TECUMSEH, OK. NPPES has assigned the NPI number 1073109112 to COUNTRY ROAD OPERATIONS LLC on December 14, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation 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 ROAD OPERATIONS LLC below.

NPI Profile for
COUNTRY ROAD OPERATIONS LLC

NPI Number
1073109112
Enumeration Date

(more than 5 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 ROAD OPERATIONS LLC
Primary location
24962 OKAY RD
TECUMSEH, OK 74873-6504
Phone: (405) 253-2020 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DANIEL MANDELBAUM
CEO
Phone: (718) 570-6018
Updated
Certification Date
Dec 14, 2020

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
324500000X
- Substance Abuse Rehabilitation 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.