1. Home
  2. Directory
  3. Missouri
  4. Vandalia
  5. Nursing Care
  6. NPI Profile

COUNTRYSIDE MANOR LLC
NPI 1144862376
Nursing Care in Vandalia, MO

Active since October 09, 2019
1415 E US HIGHWAY 54, VANDALIA, MO 63382(573) 594-6215 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Countryside Manor Llc NPPES

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

COUNTRYSIDE MANOR LLC (NPI 1144862376) is a healthcare organization registered as a nursing care in Vandalia, Missouri and active in the NPI registry since October 2019. The organization lists Karen Harrower, Adminstrator, as its authorized official.

NPPES Registry Identity

NPI1144862376
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameCOUNTRYSIDE MANOR LLC
Location Address1415 E US HIGHWAY 54Vandalia, MO 63382-2908
Mailing Address1415 E Us Highway 54Vandalia, MO 63382-2908 · (573) 594-6215
Phone(573) 594-6215
Organization SubpartNo
Authorized OfficialKaren HarrowerAdminstrator · (573) 473-2563
Enumeration DateOctober 9, 2019
✔ NPI 1144862376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
1415 E US HIGHWAY 54, Vandalia, MO 63382
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

COUNTRYSIDE MANOR
Assisted Living Facility
1415 E US HIGHWAY 54
VANDALIA, MO 63382
Audrain County (573) 594-6215

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 Manor LLC's NPI number?

The NPI number for Countryside Manor LLC is 1144862376. It was assigned to this organization in the NPPES registry on October 9, 2019.

Where is Countryside Manor LLC located?

Countryside Manor LLC is located at 1415 E Us Highway 54, Vandalia, MO 63382. The listed phone number is (573) 594-6215.

What is Countryside Manor LLC's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

When was this NPI record last updated?

The NPPES record for Countryside Manor LLC was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.