Countryside Manor Healthcare Center

LBN: Countryside Manor Healthcare Center
Countryside Manor Healthcare Center is an health care organization with primary practice located at 205 Marine Dr , Anderson IN 46016-5937. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Care, Pediatric, which is considered as the primary health care specialty. Countryside Manor Healthcare Center can be contacted via phone (765) 649-4558, or through Lawrence, Hervey via phone (765) 649-4558.

Contact Information

Primary practice address
205 Marine Dr Anderson IN 46016-5937
Phone: (765) 649-4558
Fax: (765) 641-1239
Website:
Map and Directions
Authorized official contact:
Name: Lawrence, Hervey
Phone: (765) 649-4558

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Care, Pediatric 3140N1450X

Profile Details

NPI number 1356300206
LBN Legal business name Countryside Manor Healthcare Center
DBA Doing business as
Authorized official Lawrence, Hervey
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 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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