COUNTRYSIDE CARE CENTER LLC
NPI 1841875234
Skilled Nursing Facility in Fresno, CA

Active since March 16, 2021
2/5
Overall Rating
925 N CORNELIA AVE, FRESNO, CA 93706(559) 554-2024 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2021, Mar 18, 2021 (2 updates tracked since 2021).

About Countryside Care Center Llc NPPES

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

COUNTRYSIDE CARE CENTER LLC (NPI 1841875234) is a healthcare organization registered as a skilled nursing facility in Fresno, California and active in the NPI registry since March 2021. The organization lists Tara Raymond, Administrator, as its authorized official.

NPPES Registry Identity

NPI1841875234
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOUNTRYSIDE CARE CENTER LLC
Location Address925 N CORNELIA AVEFresno, CA 93706-1031
Mailing Address925 N Cornelia AveFresno, CA 93706-1031
Organization SubpartNo
Authorized OfficialTara RaymondAdministrator · (559) 275-4785
Enumeration DateMarch 16, 2021
Last NPPES UpdateJuly 6, 20212 updates tracked since enumeration
NPPES CertifiedJuly 6, 2021
NPI 1841875234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
925 N CORNELIA AVE, Fresno, CA 93706

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Countryside Care Center (CMS certification number 056281), from CMS Care Compare.

Countryside Care Center

Nursing home · Fresno, CA
2/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number056281
Certified Beds59 beds50 residents per day on average
Medicare & Medicaid Participant SinceFebruary 10, 1971
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
3/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
89.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.91 · LPN 1.04 · RN 0.65
4.61 hrs per resident per day
Weekend Nurse Staffing
4.12 hrs per resident per day
Physical Therapist Staffing
0.04 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
50.7%
Registered Nurse Turnover
33.3%
Administrators Who Have Left
In the past year.
2
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.
Facility-Reported Incidents
12
Substantiated Complaints
5
Fines
3 totaling $57,443.79
Medicare Payment Denials
0
Total Penalties
3
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

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

Skilled Nursing Facility
925 N CORNELIA AVE
FRESNO, CA 93706
Physical Therapy Assistant
925 N CORNELIA AVE
FRESNO, CA 93706

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 1841875234. It was assigned to this organization in the NPPES registry on March 16, 2021.

Where is Countryside Care Center LLC located?

Countryside Care Center LLC is located at 925 N Cornelia Ave, Fresno, CA 93706. The listed phone number is (559) 554-2024.

What is Countryside Care Center LLC's specialty?

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

Is Countryside Care Center LLC a Medicare-certified nursing home?

Yes. Countryside Care Center is a Medicare-certified nursing home with 59 certified beds.

What quality rating does Countryside Care Center LLC have?

CMS rates Countryside Care Center 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Countryside Care Center LLC was last updated on July 6, 2021. 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.