Countryside Estates, Inc.

LBN: Countryside Health Services, Llc
Countryside Estates, Inc. is an health care organization with primary practice located at Highway 64 East , Warner OK 74469-0749. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Countryside Health Services, Llc can be contacted via phone (918) 463-5143, or through Rogers, Jack Scott via phone (918) 463-5143.

Contact Information

Primary practice address
Highway 64 East Warner OK 74469-0749
Phone: (918) 463-5143
Fax: (918) 463-5144
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Jack Scott
Phone: (918) 463-5143

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X NH51025102 Oklahoma

Profile Details

NPI number 1336252089
LBN Legal business name Countryside Health Services, Llc
DBA Doing business as Countryside Estates, Inc.
Authorized official Rogers, Jack Scott
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2006
Last updated Aug 22nd, 2020 - about 4 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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