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COUNTRYSIDE LIVING & ELDERY HOME CARE
NPI 1790433118
Home Health in Englewood, OH

Active since March 15, 2022
307 BEECHGROVE DR, ENGLEWOOD, OH 45322(937) 432-9870(937) 432-9871 Get Directions Write a Review

NPPES record last updated: March 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Countryside Living & Eldery Home Care NPPES

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

COUNTRYSIDE LIVING & ELDERY HOME CARE (NPI 1790433118) is a healthcare organization registered as a home health in Englewood, Ohio and active in the NPI registry since March 2022. The organization lists Tim Keith Fleenor, Owner, as its authorized official.

NPPES Registry Identity

NPI1790433118
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameCOUNTRYSIDE LIVING & ELDERY HOME CARE
Location Address307 BEECHGROVE DREnglewood, OH 45322-1105
Mailing Address307 Beechgrove DrEnglewood, OH 45322-1105 · (937) 432-9870 · Fax (937) 432-9871
Phone(937) 432-9870
Fax(937) 432-9871
Organization SubpartNo
Authorized OfficialTim Keith FleenorOwner · (937) 875-0490
Enumeration DateMarch 15, 2022
NPPES CertifiedMarch 15, 2022
✔ NPI 1790433118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
307 BEECHGROVE DR, Englewood, OH 45322
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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 Living & Eldery Home Care's NPI number?

The NPI number for Countryside Living & Eldery Home Care is 1790433118. It was assigned to this organization in the NPPES registry on March 15, 2022.

Where is Countryside Living & Eldery Home Care located?

Countryside Living & Eldery Home Care is located at 307 Beechgrove Dr, Englewood, OH 45322. The listed phone number is (937) 432-9870.

What is Countryside Living & Eldery Home Care's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Countryside Living & Eldery Home Care was last updated on March 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.