COUNTRYSIDE HOME INC. - NPI 1063223683 - Assisted Living Facility in Abilene, KS

Q: What is the provider's specialty?

The provider's specialty is Assisted Living Facility with taxonomy code 310400000X.

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About Countryside Home Inc. NPPES

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

COUNTRYSIDE HOME INC. (NPI 1063223683) is a healthcare organization registered as an assisted living facility in Abilene, Kansas and active in the NPI registry since January 2025. The organization lists Andrew Still, System Administrator, as its authorized official.

NPPES Registry Identity

NPI1063223683

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCOUNTRYSIDE HOME INC.

Location Address2454 HIGHWAY 15Abilene, KS 67410-6084

Mailing Address2454 Highway 15Abilene, KS 67410-6084 · (785) 576-1607

Phone(785) 576-1607

Fax(785) 263-9885

Organization SubpartNo

Authorized OfficialAndrew StillSystem Administrator · (719) 232-3208

Enumeration DateJanuary 14, 2025

NPPES CertifiedJanuary 14, 2025

✔ NPI 1063223683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

2454 HIGHWAY 15, Abilene, KS 67410

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Frequently Asked Questions

What is COUNTRYSIDE HOME INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1063223683, enumerated as an "organization" on January 14, 2025.

Where is the provider located?

The provider is located at 2454 HIGHWAY 15 ABILENE, KS 67410 and the phone number is (785) 576-1607.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.