COUNTRYSIDE HOME CARE, INC
NPI 1336135318
Home Health in Salmon, ID

Active since September 23, 2005
1213 MAIN ST, SALMON, ID 83467(208) 756-4032(208) 756-6477 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Countryside Home Care, Inc NPPES

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

COUNTRYSIDE HOME CARE, INC (NPI 1336135318) is a healthcare organization registered as a home health in Salmon, Idaho and active in the NPI registry since September 2005. The organization lists John Grover, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1336135318
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCOUNTRYSIDE HOME CARE, INC
Location Address1213 MAIN STSalmon, ID 83467-4324
Mailing Address1213 Main StSalmon, ID 83467-4324 · (208) 756-4032 · Fax (208) 756-6477
Fax(208) 756-6477
Organization SubpartNo
Authorized OfficialJohn GroverOwner/administrator · (208) 756-4032
Enumeration DateSeptember 23, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1336135318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1213 MAIN ST, Salmon, ID 83467

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 Home Care, Inc's NPI number?

The NPI number for Countryside Home Care, Inc is 1336135318. It was assigned to this organization in the NPPES registry on September 23, 2005.

Where is Countryside Home Care, Inc located?

Countryside Home Care, Inc is located at 1213 Main St, Salmon, ID 83467. The listed phone number is (208) 756-4032.

What is Countryside Home Care, Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Countryside Home Care, Inc was last updated on August 22, 2020. 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.