COUNTRYSIDE HEALTH AND REHABILITATION
NPI 1013492743
Skilled Nursing Facility in Lawrenceburg, TN

Active since September 28, 2018CLIA 44D0315984 · Waiver
3051 BUFFALO RD, LAWRENCEBURG, TN 38464(931) 762-7518 Get Directions Write a Review

NPPES record last updated: February 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2023, Jan 3, 2022, Sep 28, 2018 (3 updates tracked since 2018).

About Countryside Health And Rehabilitation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRYSIDE HEALTH AND REHABILITATION (NPI 1013492743) is a healthcare organization registered as a skilled nursing facility in Lawrenceburg, Tennessee and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists David Herskowitz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013492743
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOUNTRYSIDE TN OPCO LLC
Location Address3051 BUFFALO RDLawrenceburg, TN 38464-6189
Mailing Address2071 Flatbush Ave Ste 12Brooklyn, NY 11234-4340
Organization SubpartNo
Authorized OfficialDavid HerskowitzCeo · (212) 444-1991
Enumeration DateSeptember 28, 2018
Last NPPES UpdateFebruary 8, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2023
NPI 1013492743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3051 BUFFALO RD, Lawrenceburg, TN 38464

Other Names 1

Doing Business AsCountryside Health And Rehabilitation

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0315984

Countryside Tn Rehab LLC · Lawrenceburg, TN
Active · expires Aug 31, 2026
CLIA Number44D0315984
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorCara L. Harris
Laboratory Phone(870) 723-2554
Laboratory LocationCountryside Tn Rehab LLC3051 Buffalo Rd, Lawrenceburg, TN 38464
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
3051 BUFFALO RD
LAWRENCEBURG, TN 38464
Nurse Practitioner (Acute Care)
3051 BUFFALO RD
LAWRENCEBURG, TN 38464
Skilled Nursing Facility
3051 BUFFALO RD
LAWRENCEBURG, TN 38464
Skilled Nursing Facility
3051 BUFFALO RD
LAWRENCEBURG, TN 38464
Occupational Therapy Assistant
3051 BUFFALO RD
LAWRENCEBURG, TN 38464
Internal Medicine (Pulmonary Disease)
3051 BUFFALO RD
LAWRENCEBURG, TN 38464

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Countryside Tn Opco LLC's NPI number?

The NPI number for Countryside Tn Opco LLC is 1013492743. It was assigned to this organization in the NPPES registry on September 28, 2018. The provider is doing business as Countryside Health And Rehabilitation.

Where is Countryside Tn Opco LLC located?

Countryside Tn Opco LLC is located at 3051 Buffalo Rd, Lawrenceburg, TN 38464. The listed phone number is (931) 762-7518.

What is Countryside Tn Opco LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Countryside Tn Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0315984) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Countryside Tn Opco LLC accept?

Health plans from UnitedHealthcare list Countryside Tn Opco LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Countryside Tn Opco LLC was last updated on February 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.