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COUNTRYSIDE HOME
NPI 1598893869
Custodial Care Facility - Adult Care Home in Wellington, KS

Active since March 01, 2007
122 S COUNTRYSIDE LN, WELLINGTON, KS 67152(620) 326-8749(620) 326-2254 Get Directions Write a Review

NPPES record last updated: July 14, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Countryside Home NPPES

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

COUNTRYSIDE HOME (NPI 1598893869) is a healthcare organization registered as an adult care home in Wellington, Kansas and active in the NPI registry since March 2007. The organization lists Channity Marie Farley, Owner Operator, as its authorized official.

NPPES Registry Identity

NPI1598893869
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameCOUNTRYSIDE HOME
Location Address122 S COUNTRYSIDE LNWellington, KS 67152-8077
Mailing Address122 S Countryside LnWellington, KS 67152-8077 · (620) 326-8749 · Fax (620) 326-2254
Phone(620) 326-8749
Fax(620) 326-2254
Organization SubpartNo
Authorized OfficialChannity Marie FarleyOwner Operator · (620) 326-8749
Enumeration DateMarch 1, 2007
Last NPPES UpdateJuly 14, 2008
✔ NPI 1598893869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in KS · B096014
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
122 S COUNTRYSIDE LN, Wellington, KS 67152
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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's NPI number?

The NPI number for Countryside Home is 1598893869. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Countryside Home located?

Countryside Home is located at 122 S Countryside Ln, Wellington, KS 67152. The listed phone number is (620) 326-8749.

What is Countryside Home's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Countryside Home was last updated on July 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.