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COUNTRYSIDE MANOR
NPI 1275673642
Nursing Facility/Intermediate Care Facility in Lamar, AR

Active since February 07, 2007
300 S THOMPSON RD, LAMAR, AR 72846(479) 754-2052(479) 754-5745 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Countryside Manor NPPES

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

COUNTRYSIDE MANOR (NPI 1275673642) is a healthcare organization registered as a nursing facility/intermediate care facility in Lamar, Arkansas and active in the NPI registry since February 2007. The organization lists Justin Price, Member, as its authorized official.

NPPES Registry Identity

NPI1275673642
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameCOUNTRYSIDE MANOR LLC
Location Address300 S THOMPSON RDLamar, AR 72846-9423
Mailing Address300 S Thompson RdLamar, AR 72846-9423 · (479) 754-2052 · Fax (479) 754-5745
Phone(479) 754-2052
Fax(479) 754-5745
Organization SubpartNo
Authorized OfficialJustin PriceMember · (918) 967-9285
Enumeration DateFebruary 7, 2007
Last NPPES UpdateFebruary 19, 2008
✔ NPI 1275673642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
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.
300 S THOMPSON RD, Lamar, AR 72846
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Other Names 1

Doing Business AsCountryside Manor

Other Identifiers 1

Medicare OSCAR/certification045168

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 1275673642. It was assigned to this organization in the NPPES registry on February 7, 2007. The provider is doing business as Countryside Manor.

Where is Countryside Manor LLC located?

Countryside Manor LLC is located at 300 S Thompson Rd, Lamar, AR 72846. The listed phone number is (479) 754-2052.

What is Countryside Manor LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Countryside Manor LLC was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.