COUNTRYSIDE MANOR
NPI 1801099213
Assisted Living Facility in Vandalia, MO

Q: What is Countryside Manor's NPI number?

The NPI number for Countryside Manor is 1801099213. It was assigned to this organization in the NPPES registry on June 6, 2007.

Q: What is Countryside Manor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Countryside Manor 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.

Active since June 06, 2007

1415 E US HIGHWAY 54, VANDALIA, MO 63382(573) 594-6215 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Countryside Manor NPPES

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

COUNTRYSIDE MANOR (NPI 1801099213) is a healthcare organization registered as an assisted living facility in Vandalia, Missouri and active in the NPI registry since June 2007. The organization lists Karen Kaye Harrower, Director Of Nursing, as its authorized official.

NPPES Registry Identity

NPI1801099213

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCOUNTRYSIDE MANOR

Location Address1415 E US HIGHWAY 54Vandalia, MO 63382-2908

Mailing Address1415 E Us Highway 54Vandalia, MO 63382-2908 · (573) 594-6215

Phone(573) 594-6215

Organization SubpartNo

Authorized OfficialKaren Kaye HarrowerDirector Of Nursing · (573) 594-6215

Enumeration DateJune 6, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1801099213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in MO · 0327

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.

1415 E US HIGHWAY 54, Vandalia, MO 63382

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Other Providers at the Same Location NPPES

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

COUNTRYSIDE MANOR LLC

Nursing Care

1415 E US HIGHWAY 54
VANDALIA, MO 63382

Audrain County (573) 594-6215

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 Manor's NPI number?

The NPI number for Countryside Manor is 1801099213. It was assigned to this organization in the NPPES registry on June 6, 2007.

Where is Countryside Manor located?

Countryside Manor is located at 1415 E Us Highway 54, Vandalia, MO 63382. The listed phone number is (573) 594-6215.

What is Countryside Manor's specialty?

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

When was this NPI record last updated?

The NPPES record for Countryside Manor 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.