Country Club House – Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility, NPI 1598808743

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Country Club House is a healthcare provider. based in La grange, Texas. specializing in Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility. The NPI Number for Country Club House is 1598808743

Main info

Organization
Name
Country Club House
NPI
1598808743
Phone
(979) 968-8820
Address
2004 S US HIGHWAY 77
Authorized Official
WILLIAM K GRAY II PRESIDENT
Enumeration Date
15 February 2007
Last Update Date
30 January 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness90
Years active:19State licenses:0Digital endpoints

Provider Addresses for Country Club House

  • 2004 S US HIGHWAY 77

    LA GRANGE, TX 789456127

    Phone: (979) 968-8820

    Fax: (979) 968-6598

    Type: Location

  • 1070 County Road 227

    Giddings, TX 789426166

    Phone: (979) 968-8820

    Fax: (979) 968-6598

    Type: Location

  • 666 N Joekel Ave

    Giddings, TX 789422141

    Phone: (979) 968-8820

    Fax: (979) 968-6598

    Type: Location

  • 706 Justice Rd

    West Point, TX 789635134

    Phone: (979) 968-8820

    Fax: (979) 968-6598

    Type: Location

  • 486 Edgewood Ave

    Giddings, TX 789424402

    Phone: (979) 968-8820

    Fax: (979) 968-6598

    Type: Location

  • 339 W COLORADO ST

    LA GRANGE, TX 789452207

    Phone: (979) 968-8502

    Fax: (979) 968-5210

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78945)

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Reviews

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Frequently asked questions

Is there an official ID for Country Club House in U.S. healthcare records?
The official identifier for Country Club House is NPI 1598808743.
Is Country Club House shown as active in public data?
Registry records indicate Country Club House maintains an active NPI.
What kind of doctor is Country Club House?
Country Club House is associated with Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Country Club House?
Directory geography for Country Club House centers on La Grange, Texas.
Does Country Club House accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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