Countryside Home in Wellington - Adult Care Home

Countryside Home - NPI 1598893869

Countryside Home is a Adult Care Home in Wellington, Kansas. Countryside Home practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Countryside Home is 1598893869. The last update date is 2008-07-14.

Countryside Home's current location address is 122 S Countryside Ln, Wellington, Kansas. You can contact this provider via phone number 6203268749 and fax number 6203262254. The mailing address for Countryside Home is 122 S Countryside Ln, Wellington, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Countryside Home
Address 122 S Countryside Ln, Wellington, Kansas
Phone Number 6203268749
Fax Number 6203262254
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER OPER
Authorized Official Name Farley Marie Channity
Credentials REGISTERED
Telephone Number 6203268749

NPI Number Detail

NPI Number 1598893869
Provider Enumeration Date 2007-03-01
Last Updated Date 2008-07-14

Provider Mailing Address Detail

Address 122 S Countryside Ln
City Wellington
State Kansas (KS)
Post Code 671528077
Phone Number 6203268749
Fax Number 6203262254

Provider's Primary Taxonomy Detail

Speciality Adult Care Home
Taxonomy 311Za0620X
Licence No B096014
Definition:
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like en

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FAQs about Countryside Home

What is the unique provider identifier assigned to Countryside Home?

The Countryside Home has been issued the NPI (National Provider Identifier) 1598893869 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Countryside Home's facilities are geographically located?

The facilities of Countryside Home are physically situated at the following location: 122 S Countryside Ln, Wellington, KS, 671528077.

What is Countryside Home's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Countryside Home is Adult Care Home, and the taxonomy code that categorizes this field of expertise is 311Za0620X.

When did Countryside Home receive its 1598893869 assignment?

The Countryside Home was assigned its 1598893869 on 2007-03-01, which is the date when this unique identifier was issued to the organization.

When was the information related to Countryside Home most recently updated or refreshed?

The details pertaining to the Countryside Home, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-14.

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