Harborside Healthcare - Terre Haute Rehabilitation And Nursing Center
LBN: Countryside Care Center Corp.
Harborside Healthcare - Terre Haute Rehabilitation And Nursing Center is an health care organization with primary practice located at 1001 E Springhill Dr , Terre Haute IN 47802-4547. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty.
Countryside Care Center Corp. can be contacted via phone (812) 238-2441, or through Mathies, William A via phone (505) 821-3355.
Contact Information
Primary practice address
1001 E Springhill Dr
Terre Haute IN 47802-4547
Phone: (812) 238-2441
Fax: (812) 299-4492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 05-000119-2 | Indiana |
Profile Details
| NPI number | 1760415079 |
|---|---|
| LBN Legal business name | Countryside Care Center Corp. |
| DBA Doing business as | Harborside Healthcare - Terre Haute Rehabilitation And Nursing Center |
| Authorized official | Mathies, William A |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Oct 9th, 2008 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760415079 | NPPES |
| Indiana | MEDICAID | 100266680A |
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