Countryside Home

LBN: Countryside Home
Countryside Home is an health care organization with primary practice located at 122 S Countryside Ln , Wellington KS 67152-8077. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Countryside Home can be contacted via phone (620) 326-8749, or through Farley, Channity Marie via phone (620) 326-8749.

Contact Information

Primary practice address
122 S Countryside Ln Wellington KS 67152-8077
Phone: (620) 326-8749
Fax: (620) 326-2254
Website:
Map and Directions
Authorized official contact:
Name: Farley, Channity Marie REGISTEREDNURSE
Phone: (620) 326-8749

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X B096014 Kansas

Profile Details

NPI number 1598893869
LBN Legal business name Countryside Home
DBA Doing business as
Authorized official Farley, Channity Marie REGISTEREDNURSE
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Jul 14th, 2008 - about 16 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.

Request for update

Popular Providers