OrganizationActive
Country Aire Estates LLC
NPI 1326113077 · Assisted Living Facility (Mental Illness) · Hannibal, MO
Provider details
- NPI number
- 1326113077
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Georgia Noland, Owner(573) 221-5400
- License
- 018850 (MO)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
49303 Rensselaer Ln
Hannibal, MO 63401-7356
Phone: (573) 221-5400
Fax: (573) 221-5437
Street-level locationGet directions
Mailing address
49303 Rensselaer Ln
Hannibal, MO 63401-7356
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2015-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.