Countryside Care Center, Inc.

LBN: Countryside Care Center, Inc.
Countryside Care Center, Inc. is an health care organization with primary practice located at 2121 Robinson Rd , Jackson MI 49203-3658. 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, Inc. can be contacted via phone (517) 787-4150, or through Ganton, John via phone (517) 787-4150.

Contact Information

Primary practice address
2121 Robinson Rd Jackson MI 49203-3658
Phone: (517) 787-4150
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ganton, John
Phone: (517) 787-4150

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 38-4180 Michigan

Profile Details

NPI number 1164597688
LBN Legal business name Countryside Care Center, Inc.
DBA Doing business as
Authorized official Ganton, John
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2006
Last updated Feb 2nd, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164597688 NPPES
Michigan MEDICAID 2153813

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