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COUNTRYSIDE VILLAGE LLC
NPI 1295029791
Assisted Living Facility in Pikeville, NC

Active since June 02, 2011
5383 US HIGHWAY 117 N, PIKEVILLE, NC 27863(919) 242-6369(919) 242-9884 Get Directions Write a Review

NPPES record last updated: June 2, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Countryside Village Llc NPPES

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

COUNTRYSIDE VILLAGE LLC (NPI 1295029791) is a healthcare organization registered as an assisted living facility in Pikeville, North Carolina and active in the NPI registry since June 2011. The organization lists Michael Chryll Bateman, President, as its authorized official.

NPPES Registry Identity

NPI1295029791
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOUNTRYSIDE VILLAGE LLC
Location Address5383 US HIGHWAY 117 NPikeville, NC 27863-9443
Mailing Address3505 Primrose AveGreensboro, NC 27408-3192 · (336) 617-4799 · Fax (336) 617-4799
Phone(919) 242-6369
Fax(919) 242-9884
Organization SubpartNo
Authorized OfficialMichael Chryll BatemanPresident · (336) 917-4799
Enumeration DateJune 2, 2011
✔ NPI 1295029791 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.
5383 US HIGHWAY 117 N, Pikeville, NC 27863
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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.

RIDGELINE PIKEVILLE LLC
Assisted Living Facility
5383 US HIGHWAY 117 N
PIKEVILLE, NC 27863
Wayne County (919) 242-6369
PREMIER OPERATING COUNTRYSIDE VILLAGE, LLC
Custodial Care Facility (Adult Care Home)
5383 US HIGHWAY 117 N
PIKEVILLE, NC 27863
Wayne County (919) 242-6369
JAYBIRD LSE PV05 LLC
Assisted Living Facility
5383 US HIGHWAY 117 N
PIKEVILLE, NC 27863
Wayne County (919) 242-6369

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 Village LLC's NPI number?

The NPI number for Countryside Village LLC is 1295029791. It was assigned to this organization in the NPPES registry on June 2, 2011.

Where is Countryside Village LLC located?

Countryside Village LLC is located at 5383 Us Highway 117 N, Pikeville, NC 27863. The listed phone number is (919) 242-6369.

What is Countryside Village LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Countryside Village LLC was last updated on June 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.