COUNTRYSIDE CARE CENTER, LLC
NPI 1568818607
Assisted Living Facility in Monett, MO

Active since May 08, 2016CLIA 26D1059109 · Waiver
385 S EISENHOWER ST, MONETT, MO 65708(417) 235-4040(417) 235-3664 Get Directions Write a Review

NPPES record last updated: May 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Countryside Care Center, Llc NPPES

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

COUNTRYSIDE CARE CENTER, LLC (NPI 1568818607) is a healthcare organization registered as an assisted living facility in Monett, Missouri and active in the NPI registry since May 2016. The organization holds a CLIA Waiver certificate valid through September 21, 2026 and lists Mary Kay Howlett, Owner, as its authorized official.

NPPES Registry Identity

NPI1568818607
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOUNTRYSIDE CARE CENTER, LLC
Location Address385 S EISENHOWER STMonett, MO 65708-8266
Mailing AddressPo Box 434, 385 S. Eisenhower St.Monett, MO 65708-0434 · (417) 235-4040 · Fax (417) 235-3664
Fax(417) 235-3664
Organization SubpartNo
Authorized OfficialMary Kay HowlettOwner · (573) 855-9088
Enumeration DateMay 8, 2016
NPI 1568818607 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.
385 S EISENHOWER ST, Monett, MO 65708

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 26D1059109

Countryside Care Center, LLC · Monett, MO
Active · expires Sep 21, 2026
CLIA Number26D1059109
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 22, 2024
Certificate Expiration DateSeptember 21, 2026
Laboratory DirectorMary K. Howlett
Laboratory Phone(417) 235-4040
Laboratory LocationCountryside Care Center, LLC385 S Eisenhower St, Monett, MO 65708
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Assisted Living Facility
385 S EISENHOWER ST
MONETT, MO 65708

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 Care Center, LLC's NPI number?

The NPI number for Countryside Care Center, LLC is 1568818607. It was assigned to this organization in the NPPES registry on May 8, 2016.

Where is Countryside Care Center, LLC located?

Countryside Care Center, LLC is located at 385 S Eisenhower St, Monett, MO 65708. The listed phone number is (417) 235-4040.

What is Countryside Care Center, LLC's specialty?

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

Does Countryside Care Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1059109) is associated with this NPI, valid through September 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Countryside Care Center, LLC was last updated on May 8, 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.