Countryside Continuing Care Center

LBN: Liberty Nursing Center Of Fremont, Inc
Countryside Continuing Care Center is an health care organization with primary practice located at 1865 Countryside Dr , Fremont OH 43420-8748. 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. Liberty Nursing Center Of Fremont, Inc can be contacted via phone (419) 334-2602, or through Black-Kurek, Linda via phone (937) 296-1550.

Contact Information

Primary practice address
1865 Countryside Dr Fremont OH 43420-8748
Phone: (419) 334-2602
Fax: (419) 334-6287
Website:
Map and Directions
Authorized official contact:
Name: Black-Kurek, Linda
Phone: (937) 296-1550

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Care, Pediatric 3140N1450X 6160 Ohio

Profile Details

NPI number 1356370472
LBN Legal business name Liberty Nursing Center Of Fremont, Inc
DBA Doing business as Countryside Continuing Care Center
Authorized official Black-Kurek, Linda
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2006
Last updated Jun 13th, 2013 - about 11 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 1356370472 NPPES
Ohio MEDICAID 2303055

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