COUNTRYSIDE MANOR
NPI 1275673642
Nursing Facility/Intermediate Care Facility in Lamar, AR
- Organization
- Nursing Facility/Intermediate Care Facil...
About COUNTRYSIDE MANOR
This page provides the complete NPI Profile along with additional information for Countryside Manor, a provider established in Lamar, Arkansas operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1275673642 assigned on February 2007. The practitioner's primary taxonomy code is 313M00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Countryside Manor. The authorized official of this NPI record is Justin Price (Member)
- NPI
- 1275673642 Verify this NPI
- Provider Legal Name
- COUNTRYSIDE MANOR LLC
- Other Organization Name
- COUNTRYSIDE MANOR
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 300 S THOMPSON RD LAMAR, AR 72846
- Location Phone
- (479) 754-2052
- Location Fax
- (479) 754-5745
- Mailing Address
- 300 S THOMPSON RD LAMAR, AR 72846
- Mailing Phone
- (479) 754-2052
- Mailing Fax
- (479) 754-5745
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-07-2007
- Last Update Date
- 02-19-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nursing Facility/Intermediate Care Facility
- Taxonomy Code
- 313M00000X
- Type
- Nursing & Custodial Care Facilities
- License State
- AR
- Taxonomy Description
- An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 045168 | MEDICARE OSCAR/CERTIFICATION (06) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275673642, enumerated as an "organization" on February 07, 2007.
The provider is located at 300 S THOMPSON RD LAMAR, AR 72846 and the phone number is (479) 754-2052.
Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
