Healthcare Provider Details

I. General information

NPI: 1578406518
Provider Name (Legal Business Name): COUNTRY CARING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13200 SUNRISE DR
CABOOL MO
65689-9755
US

IV. Provider business mailing address

13200 SUNRISE DR
CABOOL MO
65689-9755
US

V. Phone/Fax

Practice location:
  • Phone: 417-254-3396
  • Fax: 417-554-7186
Mailing address:
  • Phone: 417-254-3396
  • Fax: 417-554-7186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ERIC JOE ZILLMAN
Title or Position: OWNER
Credential:
Phone: 417-254-3396