COUNTRYSIDE HEALTH SERVICES, LLC - NPI 1336252089 - Nursing Facility/Intermediate Care Facility in Warner, OK

Q: What is Countryside Health Services, LLC's NPI number?

The NPI number for Countryside Health Services, LLC is 1336252089. It was assigned to this organization in the NPPES registry on August 16, 2006. The provider is doing business as Countryside Estates, Inc..

Q: What is Countryside Health Services, LLC's specialty?

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

Q: What quality rating does Countryside Health Services, LLC have?

CMS rates Countryside Estates 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

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About Countryside Health Services, Llc NPPES

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

COUNTRYSIDE HEALTH SERVICES, LLC (NPI 1336252089), doing business as Countryside Estates, Inc., is a healthcare organization registered as a nursing facility/intermediate care facility in Warner, Oklahoma and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 22, 2027 and lists John Eric Rogers, Member, as its authorized official.

NPPES Registry Identity

NPI1336252089

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameCOUNTRYSIDE HEALTH SERVICES, LLC

Location AddressHIGHWAY 64 EASTWarner, OK 74469-0749

Mailing AddressPo Box 749Warner, OK 74469-0749 · (918) 463-5143 · Fax (918) 463-5144

Phone(918) 463-5143

Fax(918) 463-5144

Organization SubpartNo

Authorized OfficialJohn Eric RogersMember · (918) 404-3443

Enumeration DateAugust 16, 2006

Last NPPES UpdateJanuary 8, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2026

✔ NPI 1336252089 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

License✔ Licensed in OK · NH51025102

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.

HIGHWAY 64 EAST, Warner, OK 74469

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Other Names 1

Doing Business AsCountryside Estates, Inc.

Other Identifiers 1

Medicaid200073790AOK

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D0964332

Countryside Estates · Warner, OK

Active · expires Aug 22, 2027

CLIA Number37D0964332

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateAugust 23, 2025

Certificate Expiration DateAugust 22, 2027

Laboratory DirectorShiloh Mcpeak

Laboratory Phone(918) 463-5143

Laboratory LocationCountryside Estates750 3 Hwy 64, Warner, OK 74469

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Countryside Estates (CMS certification number 375341), from CMS Care Compare.

Countryside Estates

Nursing home · Warner, OK

2/5 CMS Overall Rating

OwnershipFor profit - Limited Liability company

CMS Certification Number375341

Certified Beds111 beds76 residents per day on average

Medicare & Medicaid Participant SinceJuly 1, 1998

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

1/5

Long-Stay Quality

Quality of care delivered to long-term residents.

2/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

1/5

Staffing

Based on nursing staff hours relative to resident needs.

1/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

32.67

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 0 · LPN 0.16 · RN 0.01

0.17 hrs per resident per day

Weekend Nurse Staffing

0.16 hrs per resident per day

Physical Therapist Staffing

0 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

96%

Registered Nurse Turnover

100%

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Fines

1 totaling $3,145.35

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Health Services, LLC's NPI number?

The NPI number for Countryside Health Services, LLC is 1336252089. It was assigned to this organization in the NPPES registry on August 16, 2006. The provider is doing business as Countryside Estates, Inc..

Where is Countryside Health Services, LLC located?

Countryside Health Services, LLC is located at Highway 64 East, Warner, OK 74469. The listed phone number is (918) 463-5143.

What is Countryside Health Services, LLC's specialty?

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

Does Countryside Health Services, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D0964332) is associated with this NPI, valid through August 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Countryside Health Services, LLC a Medicare-certified nursing home?

Yes. Countryside Estates is a Medicare-certified nursing home with 111 certified beds.

What quality rating does Countryside Health Services, LLC have?

CMS rates Countryside Estates 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Countryside Health Services, LLC was last updated on January 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.