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COUNTRYSIDE HEALTH CENTER OPERATIONS LLC NPI 1154481943


NPI Information

NPI: 1154481943
Provider Name: COUNTRYSIDE HEALTH CENTER OPERATIONS, LLC

Doing Business As: COUNTRYSIDE HEALTH CENTER

Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization

CLIA Number: 17D0921210

Address:
440 SE WOODLAND AVE
TOPEKA, KS
ZIP 66607
Phone: (785) 234-6147
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COUNTRYSIDE HEALTH CENTER OPERATIONS, LLC is a nursing facility intermediate care facility in Topeka, KS. 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 HEALTH CENTER OPERATIONS, LLC NPI is 1154481943. The provider is registered as an organization entity type.
The provider Is Doing Business As Countryside Health Center.

The provider's business location address is:

440 SE WOODLAND AVE
TOPEKA, KS
ZIP 66607-172
Phone: (785) 234-6147
Fax: (785) 232-8781

The provider's authorized official is Michael D Tryon .
The authorized official title is Cfo and has the following contact phone number (785) 272-1535.

The CLIA number assigned to this NPI record is 17D0921210 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1313M00000XNursing Facility/Intermediate Care FacilityKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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