COUNTRYSIDE RETIREMENT HOME OF SIOUX CITY, IOWA is a nursing facility intermediate care facility in Sioux City, IA. The provider is 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 rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. COUNTRYSIDE RETIREMENT HOME OF SIOUX CITY, IOWA NPI is 1104825876. The provider is registered as an organization entity type.
The provider Is Doing Business As Countryside Retirement Home, Inc..
The provider's business location address is:
6120 MORNINGSIDE AVE
SIOUX CITY, IA
ZIP 51106-943
Phone: (712) 276-3000
Fax: (712) 266-2167
The provider's authorized official is Debbie Menzenberg .
The authorized official title is Executive Director and has the following contact phone number (712) 276-3000.
The CLIA number assigned to this NPI record is 16D0675132 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/15/2005 and was last updated on 9/11/2009.