Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Country Club Operator LLC

Organization Skilled Nursing Facility · NPI 1104584416

Country Club Operator LLC is a Skilled Nursing Facility in Warrensburg, Missouri. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

503 Regent Dr
Warrensburg, MO 64093-3231
Phone: (660) 429-4444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1104584416
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacques Wolf — Manager · (908) 421-1184
Other names Country Club Rehab And Healthcare Center
NPI enumeratedDecember 3, 2021
Last updated in NPPESDecember 3, 2021
Certification dateNovember 21, 2021
Mailing address311 Boulevard Of The Americas, Suite 201, Lakewood, NJ 08701

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