Country Manor Campus LLC is a Assisted Living Facility (organization) practicing in Sartell, Minnesota. The National Provider Identifier (NPI) is #1912896135, which was assigned on July 1, 2025, and the registration record was last updated on July 1, 2025. The practitioner's main practice location is at 520 1st St Ne, Sartell, MN 56377-1274; the contact telephone number is 3202531920. The primary taxonomy of Country Manor Campus LLC is Assisted Living Facility (310400000X). The authorized official for Country Manor Campus LLC is Kevin G. Harguth (Cfo).
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.
| NPI | 1912896135 |
| Entity Type | Organization |
| Organization Name | COUNTRY MANOR CAMPUS LLC |
| Provider Name | COUNTRY MANOR CAMPUS LLC |
| Practice Address |
520 1st St Ne Sartell MN 56377-1274 |
| Practice Telephone | 3202531920 |
| Mailing Address |
520 1st St Ne Sartell MN 56377-1274 |
| Mailing Telephone | 3202531920 |
| Certification Date | 2025-07-01 |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-01 |
| Is Organization Subpart | Y |
| Parent Organization Legal Business Name | COUNTRY MANOR CAMPUS LLC |
| Official Name | KEVIN G. HARGUTH |
| Official Title | CFO |
| Telephone | 3202588983 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 251E00000X | Home Health | ||||
| Y | 310400000X | Assisted Living Facility |
| Other Organization Name | Type |
|---|---|
| The Country Villa | Doing Business As Name |
| Address | Telephone | Fax |
|---|---|---|
| 504 1st St NE, Sartell, MN 563771273 | 3202531920 |
| Code | 310400000X |
| Taxonomy | Assisted Living Facility |
| Classification | Assisted Living Facility |
| Grouping | Nursing & Custodial Care Facilities |
| Definition: 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. |
| Notes: [7/1/2003: new] |
| Code | 251E00000X |
| Taxonomy | Home Health Agency |
| Classification | Home Health |
| Grouping | Agencies |
| Definition: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
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|---|---|---|---|
| O.S.J. Family Place | 4113 Seybold Ave, Orlando, FL 32808-2110 | Assisted Living Facility | 2026-04-09 |
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| Columbia Cottage - Wyomissing Hills, LLC | 3121 State Hill Rd, Wyomissing, PA 19610-1001 | Assisted Living Facility | 2026-04-09 |
| Second Story LLC | 1013 W River Rd, Champlin, MN 55316-2002 | Assisted Living Facility | 2026-04-09 |
| Comfort Living | 7154 Mckee Rd, Madison, WI 53719-5240 | Assisted Living Facility | 2026-04-08 |
| Columbia Cottage - Hanover, LLC | 2288 Grandview Rd, Hanover, PA 17331-9344 | Assisted Living Facility | 2026-04-09 |
| Varna Assisted Living | 6848 Varna Ave, Van Nuys, CA 91405-4355 | Assisted Living Facility | 2026-04-10 |
| Burbank Pathway Villa | 1029 N Buena Vista St, Burbank, CA 91505-2320 | Assisted Living Facility | 2026-04-09 |
| Be Happy Be Home 3 Inc. | 17631 Los Alimos St, Granada Hills, CA 91344-4619 | Assisted Living Facility | 2026-04-09 |
| Trinitys Care LLC | 1049 Pavone St, Benton Harbor, MI 49022-5344 | Assisted Living Facility | 2026-04-11 |
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| Street Address |
520 1ST ST NE |
| City | SARTELL |
| State | MN |
| Zip Code | 56377-1274 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Integracare Ltd | 2251 Connecticut Ave S Ste 2100, Sartell, MN 56377-2486 | Physical Therapist | 2006-12-19 |
| Troy Michael Zenzen | 604 W Sartell St, Sartell, MN 56377-1900 | Rehabilitation Counselor | 2007-02-22 |
| Sleep Therapy | 2157 Troop Dr Ste 100, Sartell, MN 56377 | Prosthetic/Orthotic Supplier | 2011-03-18 |
| Ecumen Sbc Sartell Properties, LLC | 960 19th St S, Sartell, MN 56377-2597 | Assisted Living Facility | 2026-02-11 |
| Daniel Turnblom | 1901 Connecticut Ave S, Sartell, MN 56377-2554 | Physician Assistant | 2013-11-05 |
| Walgreen Co | 1100 2nd St S, Sartell, MN 56377-2152 | Durable Medical Equipment & Medical Supplies | 2006-07-29 |
| Kulmis Transportation LLC | 830 Roberts Rd Apt 208, Sartell, MN 56377-0277 | Non-emergency Medical Transport (VAN) | 2023-11-14 |
| Sartell Pediatrics, P.A. | 111 2nd St S, Sartell, MN 56377-1917 | Pediatrics Physician | 2012-03-28 |
| Small Holdings Pa | 161 19th St S Ste 106, Sartell, MN 56377-2555 | Dermatology Physician | 2024-10-28 |
| Olivia Elizabeth Hoeschen | 1901 Connecticut Ave S, Sartell, MN 56377-2554 | Physical Therapist | 2022-03-17 |
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|---|---|---|---|
| Gch Campus Clinic | 705 Gurley Ave, Gallup, NM 87301-6979 | Federally Qualified Health Center (FQHC) | 2025-07-25 |
| Campus Physical Therapy Inc | 1800 Sullivan Ave Rm 402, Daly City, CA 94015-2224 | Physical Therapist | 2007-01-12 |
| Campus Surgery Center LLC | 901 Campus Dr, Suite 102, Daly City, CA 94015-4900 | Ambulatory Surgical Clinic/Center | 2006-07-31 |
| Altignis Campus, LLC | 4850 67th St, San Diego, CA 92115 | Mental Illness Community Based Residential Treatment Facility | 2022-04-08 |
| Campus Bhc LLC | 808 W White River Blvd, Muncie, IN 47303-3868 | Substance Use Disorder Rehabilitation Clinic/Center | 2026-03-20 |
| Healthy Campus | 300 Spectrum Center Dr Ste 200, Irvine, CA 92618-4987 | Community/Behavioral Health Agency | 2026-04-09 |
| Elysian Wellness Campus LLC | 2460 Brooklyn Ave, Kansas City, MO 64127-3819 | Internal Medicine Physician | 2025-06-17 |
| Georgia Recovery Campus,Llc | 2370 Vineville Ave, Macon, GA 31204-3118 | Substance Use Disorder Rehabilitation Clinic/Center | 2025-09-05 |
| Campus Care Collective LLC | 142 W 57th St Fl 11, New York, NY 10019-3300 | Family Medicine Physician | 2025-10-29 |
| Georgia Recovery Campus,Llc | 602 3rd St, Augusta, GA 30901-2570 | Substance Use Disorder Rehabilitation Clinic/Center | 2026-03-06 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |