Countryside Care Centre Lp in Aurora - Skilled Nursing Facility
Countryside Care Centre Lp - NPI 1063498285
Countryside Care Centre Lp is a Skilled Nursing Facility in Aurora, Illinois. Countryside Care Centre Lp practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Countryside Care Centre Lp is 1063498285. The last update date is 2012-02-20.
Countryside Care Centre Lp's current location address is 2330 W Galena Blvd, Aurora, Illinois. You can contact this provider via phone number 6308964686 and fax number 6308967868. The mailing address for Countryside Care Centre Lp is 2330 W Galena Blvd, Aurora, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Countryside Care Centre Lp |
|---|---|
| Address | 2330 W Galena Blvd, Aurora, Illinois |
| Phone Number | 6308964686 |
| Fax Number | 6308967868 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CONTROLLER |
|---|---|
| Authorized Official Name | Braun Charles Michael |
| Telephone Number | 8475830100 |
NPI Number Detail
| NPI Number | 1063498285 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2012-02-20 |
Provider Mailing Address Detail
| Address | 2330 W Galena Blvd |
|---|---|
| City | Aurora |
| State | Illinois (IL) |
| Post Code | 605064246 |
| Phone Number | 6308964686 |
| Fax Number | 6308967868 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 40931 |
|
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 |
|---|---|---|---|
| 40931 | IL | IDPH LICENSE NUMBER | |
| 6002174 | IL | IDPH FACILITY NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Countryside Care Centre Lp by the Centers for Medicare & Medicaid Services?
The Countryside Care Centre Lp has been assigned the NPI (National Provider Identifier) 1063498285 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Countryside Care Centre Lp?
The Countryside Care Centre Lp is situated at 2330 W Galena Blvd, in the city of Aurora, state of IL, with the zip code 605064246.
What is Countryside Care Centre Lp'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 Centre Lp is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063498285 to Countryside Care Centre Lp?
The Centers for Medicare & Medicaid Services originally issued the 1063498285 to Countryside Care Centre Lp on 2005-12-20.
When was the information pertaining to Countryside Care Centre Lp most recently updated or revised?
The details related to Countryside Care Centre Lp, including its address, specialty, and other relevant information, were last updated or revised on 2012-02-20.