Country Road Operations LLC
NPI 1073109112 · Substance Abuse Rehabilitation Facility · Tecumseh, OK
Country Road Operations LLC is a Substance Abuse Rehabilitation Facility organization in Tecumseh, OK (NPI 1073109112).
Provider details
- NPI number
- 1073109112
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Daniel Mandelbaum, Ceo(718) 570-6018
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Avenues of Oklahoma
Registry dates
- Enumerated
- 2020-12-14
- Last updated
- 2020-12-14
- Certified
- 2020-12-14
Frequently asked questions
- What is Country Road Operations LLC's NPI number?
- Country Road Operations LLC's National Provider Identifier (NPI) is 1073109112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Country Road Operations LLC?
- Country Road Operations LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Country Road Operations LLC located?
- Country Road Operations LLC's practice location on file with NPPES is 24962 Okay Rd, Tecumseh, OK 74873-6504.
- What is Country Road Operations LLC's phone number?
- The practice phone number listed in the NPPES registry for Country Road Operations LLC is (405) 253-2020.
- Who is the authorized official for Country Road Operations LLC?
- The authorized official listed on Country Road Operations LLC's NPPES record is Daniel Mandelbaum, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Country Road Operations LLC's NPI active?
- Yes — Country Road Operations LLC's NPI (1073109112) is active in the NPPES registry as of the last update on 2020-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.