COUNTRYSIDE MANOR HEALTH & LIVING
NPI 1366587966
Skilled Nursing Facility in Anderson, IN

Active since February 21, 2007CLIA 15D0669812 · Waiver
3/5
Overall Rating
205 MARINE DR, ANDERSON, IN 46016(765) 649-0455(812) 334-0853 Get Directions Write a Review

NPPES record last updated: May 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Countryside Manor Health & Living NPPES

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

COUNTRYSIDE MANOR HEALTH & LIVING (NPI 1366587966) is a healthcare organization registered as a skilled nursing facility in Anderson, Indiana and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Kent Rodgers, Cfo, as its authorized official.

NPPES Registry Identity

NPI1366587966
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameRIVERVIEW HOSPITAL
Location Address205 MARINE DRAnderson, IN 46016-5937
Mailing Address2749 E Covenanter DrBloomington, IN 47401-5454 · (812) 332-2265 · Fax (812) 334-0853
Fax(812) 334-0853
Organization SubpartNo
Authorized OfficialKent RodgersCfo · (812) 332-2265
Enumeration DateFebruary 21, 2007
Last NPPES UpdateMay 13, 2016
NPI 1366587966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in IN · 060001601
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
205 MARINE DR, Anderson, IN 46016

Other Names 1

Doing Business AsCountryside Manor Health & Living

Other Identifiers 2

Medicare ID-Type Unspecified155258IN
Medicaid100267190AIN

Accepted Insurance

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 15D0669812

Riverview Hospital Dba Countryside Manor & Living · Anderson, IN
Active · expires Aug 31, 2026
CLIA Number15D0669812
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorWhitney Castor
Laboratory Phone(765) 649-4558
Laboratory LocationRiverview Hospital Dba Countryside Manor & Living205 Marine Drive, Anderson, IN 46016
CLIA data matches this NPI record on: Address Name
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 Manor Health & Living Community (CMS certification number 155258), from CMS Care Compare.

Countryside Manor Health & Living Community

Nursing home · Anderson, IN
3/5 CMS Overall Rating
OwnershipGovernment - County
CMS Certification Number155258
Certified Beds109 beds75 residents per day on average
Medicare & Medicaid Participant SinceApril 3, 1985
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
42
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 1.76 · LPN 0.89 · RN 0.59
3.24 hrs per resident per day
Weekend Nurse Staffing
2.83 hrs per resident per day
Physical Therapist Staffing
0.07 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
52.1%
Registered Nurse Turnover
60%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
5
Infection-Control Citations
0
Fines
2 totaling $19,500.00
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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.

Occupational Therapy Assistant
205 MARINE DR
ANDERSON, IN 46016
Skilled Nursing Facility (Nursing Care, Pediatric)
205 MARINE DR
ANDERSON, IN 46016
Speech-Language Pathologist
205 MARINE DR
ANDERSON, IN 46016

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 Riverview Hospital's NPI number?

The NPI number for Riverview Hospital is 1366587966. It was assigned to this organization in the NPPES registry on February 21, 2007. The provider is doing business as Countryside Manor Health & Living.

Where is Riverview Hospital located?

Riverview Hospital is located at 205 Marine Dr, Anderson, IN 46016. The listed phone number is (765) 649-0455.

What is Riverview Hospital's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Riverview Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D0669812) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Riverview Hospital a Medicare-certified nursing home?

Yes. Countryside Manor Health & Living Community is a Medicare-certified nursing home with 109 certified beds.

What quality rating does Riverview Hospital have?

CMS rates Countryside Manor Health & Living Community 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Riverview Hospital accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Riverview Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Riverview Hospital was last updated on May 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.