Countryside Retirement Home Of Sioux City, Iowa in Sioux City - Nursing Facility/intermediate Care Facility
Countryside Retirement Home Of Sioux City, Iowa - NPI 1104825876
Countryside Retirement Home Of Sioux City, Iowa is a Nursing Facility/intermediate Care Facility in Sioux City, Iowa. Countryside Retirement Home Of Sioux City, Iowa practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Countryside Retirement Home Of Sioux City, Iowa is 1104825876. The last update date is 2009-09-11.
Countryside Retirement Home Of Sioux City, Iowa's current location address is 6120 Morningside Ave, Sioux City, Iowa. You can contact this provider via phone number 7122763000 and fax number 7122662167. The mailing address for Countryside Retirement Home Of Sioux City, Iowa is 6120 Morningside Ave, Sioux City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Countryside Retirement Home Of Sioux City, Iowa |
|---|---|
| Address | 6120 Morningside Ave, Sioux City, Iowa |
| Phone Number | 7122763000 |
| Fax Number | 7122662167 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Menzenberg Debbie |
| Telephone Number | 7122763000 |
NPI Number Detail
| NPI Number | 1104825876 |
|---|---|
| Provider Enumeration Date | 2005-07-15 |
| Last Updated Date | 2009-09-11 |
Provider Mailing Address Detail
| Address | 6120 Morningside Ave |
|---|---|
| City | Sioux City |
| State | Iowa (IA) |
| Post Code | 511063943 |
| Phone Number | 7122763000 |
| Fax Number | 7122662167 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | N-0370 |
|
Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 800300 | IA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Countryside Retirement Home Of Sioux City, Iowa by the Centers for Medicare & Medicaid Services (CMS)?
The Countryside Retirement Home Of Sioux City, Iowa has been assigned the NPI (National Provider Identifier) 1104825876. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Countryside Retirement Home Of Sioux City, Iowa?
The Countryside Retirement Home Of Sioux City, Iowa is physically situated at 6120 Morningside Ave, in the city of Sioux City, state of IA, with the postal code 511063943.
When was the Countryside Retirement Home Of Sioux City, Iowa's 1104825876 issued?
The Countryside Retirement Home Of Sioux City, Iowa's 1104825876 was issued on 2005-07-15.
On what date did the Centers for Medicare & Medicaid Services issue the 1104825876 to Countryside Retirement Home Of Sioux City, Iowa?
The Countryside Retirement Home Of Sioux City, Iowa received its 1104825876 assignment from the Centers for Medicare & Medicaid Services on 2005-07-15.
When was the Countryside Retirement Home Of Sioux City, Iowa's information last updated?
The Countryside Retirement Home Of Sioux City, Iowa's information was last updated on 2009-09-11.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI