MT VERNON COUNTRYSIDE MANOR
NPI 1033107248
Skilled Nursing Facility in Mount Vernon, IL
About Mt Vernon Countryside Manor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MT VERNON COUNTRYSIDE MANOR (NPI 1033107248) is a healthcare organization registered as a skilled nursing facility in Mount Vernon, Illinois and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Michael Jason Mills, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 14D0718017
Mt Vernon Countryside Manor · Mount Vernon, ILNursing Home Quality Ratings CMS Care Compare
Quality ratings, staffing and inspection history for Mount Vernon Countryside Manor (CMS certification number 145685), from CMS Care Compare.
Mount Vernon Countryside Manor
Nursing home · Mount Vernon, ILCMS Star Ratings
Staffing & Turnover
Inspections & Enforcement
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Palladian Mt Vernon Snf LLC's NPI number?
The NPI number for Palladian Mt Vernon Snf LLC is 1033107248. It was assigned to this organization in the NPPES registry on October 11, 2005. The provider is doing business as Mt Vernon Countryside Manor.
Where is Palladian Mt Vernon Snf LLC located?
Palladian Mt Vernon Snf LLC is located at 606 E Il Highway 15, Mount Vernon, IL 62864. The listed phone number is (618) 242-1800.
What is Palladian Mt Vernon Snf LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Palladian Mt Vernon Snf LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0718017) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is Palladian Mt Vernon Snf LLC a Medicare-certified nursing home?
Yes. Mount Vernon Countryside Manor is a Medicare-certified nursing home with 91 certified beds.
What quality rating does Palladian Mt Vernon Snf LLC have?
CMS rates Mount Vernon Countryside Manor 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.
What insurance does Palladian Mt Vernon Snf LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Palladian Mt Vernon Snf 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 Palladian Mt Vernon Snf LLC was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.