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COUNTRYSIDE HOME INC
NPI 1922139096
Assisted Living Facility in Abilene, KS

Active since March 08, 2007
2454 HWY 15 NORTH, ABILENE, KS 67410(785) 263-7197(785) 263-9885 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Countryside Home Inc NPPES

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

COUNTRYSIDE HOME INC (NPI 1922139096) is a healthcare organization registered as an assisted living facility in Abilene, Kansas and active in the NPI registry since March 2007. The organization lists Pam J Martin, Owner Operator, as its authorized official.

NPPES Registry Identity

NPI1922139096
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOUNTRYSIDE HOME INC
Location Address2454 HWY 15 NORTHAbilene, KS 67410-6084
Mailing Address2454 Hwy 15 NorthAbilene, KS 67410-6084 · (785) 263-7197 · Fax (785) 263-9885
Phone(785) 263-7197
Fax(785) 263-9885
Organization SubpartNo
Authorized OfficialPam J MartinOwner Operator · (785) 263-7197
Enumeration DateMarch 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1922139096 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 KS · N021006
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.
2454 HWY 15 NORTH, Abilene, KS 67410
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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 Inc's NPI number?

The NPI number for Countryside Home Inc is 1922139096. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Countryside Home Inc located?

Countryside Home Inc is located at 2454 Hwy 15 North, Abilene, KS 67410. The listed phone number is (785) 263-7197.

What is Countryside Home Inc'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 Home Inc 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.