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COUNTRYSIDE CONTINUING CARE CENTER
NPI 1356370472
Skilled Nursing Facility - Nursing Care, Pediatric in Fremont, OH

Active since July 01, 2006
1865 COUNTRYSIDE DR, FREMONT, OH 43420(419) 334-2602(419) 334-6287 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Countryside Continuing Care Center NPPES

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

COUNTRYSIDE CONTINUING CARE CENTER (NPI 1356370472) is a healthcare organization registered as a nursing care, pediatric in Fremont, Ohio and active in the NPI registry since July 2006. The organization lists Linda Black-kurek, President, as its authorized official.

NPPES Registry Identity

NPI1356370472
Entity TypeOrganization
Primary Taxonomy3140N1450X
Legal Business NameLIBERTY NURSING CENTER OF FREMONT, INC
Location Address1865 COUNTRYSIDE DRFremont, OH 43420-8748
Mailing Address7445 Liberty Woods LnDayton, OH 45459-3911 · (419) 334-2602 · Fax (419) 334-6287
Phone(419) 334-2602
Fax(419) 334-6287
Organization SubpartNo
Authorized OfficialLinda Black-kurekPresident · (937) 296-1550
Enumeration DateJuly 1, 2006
Last NPPES UpdateJune 13, 2013
✔ NPI 1356370472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing Facility · Nursing Care, PediatricNursing & Custodial Care Facilities
Taxonomy Code3140N1450X
License✔ Licensed in OH · 6160
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
1865 COUNTRYSIDE DR, Fremont, OH 43420
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Other Names 1

Doing Business AsCountryside Continuing Care Center

Other Identifiers 2

Medicaid2303055OH
Medicare OSCAR/certification365418OH

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COUNTRYSIDE CONTINUING CARE
Skilled Nursing Facility
1865 COUNTRYSIDE DR
FREMONT, OH 43420
Sandusky County (419) 334-2602
PRISTINE SENIOR LIVING OF FREMONT, LLC
Skilled Nursing Facility
1865 COUNTRYSIDE DR
FREMONT, OH 43420
Sandusky County (419) 334-2602
LARRY J HILL SLP
Speech-Language Pathologist
1865 COUNTRYSIDE DR
FREMONT, OH 43420
Sandusky County (419) 334-2602
COUNTRYSIDE MANOR NURSING AND REHABILITATION LLC
Skilled Nursing Facility
1865 COUNTRYSIDE DR
FREMONT, OH 43420
Sandusky County (419) 334-2602

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 Liberty Nursing Center Of Fremont, Inc's NPI number?

The NPI number for Liberty Nursing Center Of Fremont, Inc is 1356370472. It was assigned to this organization in the NPPES registry on July 1, 2006. The provider is doing business as Countryside Continuing Care Center.

Where is Liberty Nursing Center Of Fremont, Inc located?

Liberty Nursing Center Of Fremont, Inc is located at 1865 Countryside Dr, Fremont, OH 43420. The listed phone number is (419) 334-2602.

What is Liberty Nursing Center Of Fremont, Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility, specializing in Nursing Care, Pediatric, with taxonomy code 3140N1450X.

When was this NPI record last updated?

The NPPES record for Liberty Nursing Center Of Fremont, Inc was last updated on June 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.