Countryside Care Center, Inc. in Jackson - Skilled Nursing Facility
Countryside Care Center, Inc. - NPI 1164597688
Countryside Care Center, Inc. is a Skilled Nursing Facility in Jackson, Michigan. Countryside Care Center, Inc. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Countryside Care Center, Inc. is 1164597688. The last update date is 2023-02-02.
Countryside Care Center, Inc.'s current location address is 2121 Robinson Rd, Jackson, Michigan. You can contact this provider via phone number 5177874150. The mailing address for Countryside Care Center, Inc. is 2121 Robinson Rd, Jackson, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Countryside Care Center, Inc. |
|---|---|
| Address | 2121 Robinson Rd, Jackson, Michigan |
| Phone Number | 5177874150 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Ganton John |
| Telephone Number | 5177874150 |
NPI Number Detail
| NPI Number | 1164597688 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2023-02-02 |
Provider Mailing Address Detail
| Address | 2121 Robinson Rd |
|---|---|
| City | Jackson |
| State | Michigan (MI) |
| Post Code | 492033658 |
| Phone Number | 5177874150 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 38-4180 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2153813 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Countryside Care Center, Inc. by the Centers for Medicare & Medicaid Services?
The Countryside Care Center, Inc. has been issued the NPI (National Provider Identifier) 1164597688 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Countryside Care Center, Inc.?
The Countryside Care Center, Inc. is physically situated at 2121 Robinson Rd, in the city of Jackson, state of MI, with the postal code 492033658.
What is Countryside Care Center, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Countryside Care Center, Inc. is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
When did the Countryside Care Center, Inc. receive its 1164597688?
The Countryside Care Center, Inc. was issued its 1164597688 on 2006-11-21, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Countryside Care Center, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Countryside Care Center, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-02-02.
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