COUNTRYSIDE HEALTHCARE
NPI 1750426144
Skilled Nursing Facility in Dolton, IL

Active since February 21, 2007
1635 E 154TH ST, DOLTON, IL 60419(708) 841-9550 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Countryside Healthcare NPPES

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

COUNTRYSIDE HEALTHCARE (NPI 1750426144) is a healthcare organization registered as a skilled nursing facility in Dolton, Illinois and active in the NPI registry since February 2007. The organization lists Jennie Shan-martin, Controller, as its authorized official.

NPPES Registry Identity

NPI1750426144
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOUNTRYSIDE HEALTHCARE
Location Address1635 E 154TH STDolton, IL 60419-3001
Mailing Address8320 Skokie BlvdSkokie, IL 60077-2545 · (847) 329-1555
Organization SubpartNo
Authorized OfficialJennie Shan-martinController · (847) 329-1555
Enumeration DateFebruary 21, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1750426144 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 IL · 0036632
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.
1635 E 154TH ST, Dolton, IL 60419

Other Providers at the Same Location NPPES

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

Skilled Nursing Facility
1635 E 154TH ST
DOLTON, IL 60419

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 Healthcare's NPI number?

The NPI number for Countryside Healthcare is 1750426144. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Countryside Healthcare located?

Countryside Healthcare is located at 1635 E 154th St, Dolton, IL 60419. The listed phone number is (708) 841-9550.

What is Countryside Healthcare's specialty?

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

When was this NPI record last updated?

The NPPES record for Countryside Healthcare was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.