OrganizationActive
Country Aire Healthcare LLC
NPI 1619639192 · Skilled Nursing Facility · Lewistown, MO
Provider details
- NPI number
- 1619639192
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Bernard Perlow, Authorized Person(443) 928-3278
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
18540 State Highway 16
Lewistown, MO 63452-2111
Phone: (573) 215-2216
Street-level locationGet directions
Mailing address
110 Rockaway Tpke Ste 6
Lawrence, NY 11559-1626
Other names (DBA / former)
- Doing business as
- Country Aire Retirement Center
Registry dates
- Enumerated
- 2021-10-12
- Last updated
- 2021-10-12
- Certified
- 2021-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.