Countryside Home in Madison - Skilled Nursing Facility

Countryside Home - NPI 1902881022

Countryside Home is a Skilled Nursing Facility in Madison, Nebraska. Countryside Home practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Countryside Home is 1902881022. The last update date is 2022-07-21.

Countryside Home's current location address is 703 N Main St, Madison, Nebraska. You can contact this provider via phone number 4024543373 and fax number 4024546509. The mailing address for Countryside Home is 703 N Main St, Madison, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Organization Countryside Home
Address 703 N Main St, Madison, Nebraska
Phone Number 4024543373
Fax Number 4024546509
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Anderson Linda
Credentials ADMINISTRA
Telephone Number 4024543373

NPI Number Detail

NPI Number 1902881022
Provider Enumeration Date 2005-12-13
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 703 N Main St
City Madison
State Nebraska (NE)
Post Code 687486009
Phone Number 4024543373
Fax Number 4024546509

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
637150001 NE MEDICARE DME

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FAQs about Countryside Home

What is the unique identification code assigned to Countryside Home by the Centers for Medicare & Medicaid Services?

The Countryside Home has been issued the NPI (National Provider Identifier) 1902881022. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Countryside Home is located?

The Countryside Home is situated at the following address: 703 N Main St, Madison, NE, 687486009.

What is Countryside Home's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Countryside Home is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.

When did the Countryside Home receive its 1902881022?

The Countryside Home was issued its 1902881022 on 2005-12-13, which is the date when the organization was assigned this unique identifier.

When was the Countryside Home's information last updated?

The Countryside Home's information was last updated on 2022-07-21.

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