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An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nursing Facility/Intermediate Care Facility |
313M00000X | A3[10] | Other Nursing Facility | |
Custodial Care Facility |
311Z00000X |
| NPI # | 1104825876 |
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| LBN Legal business name | COUNTRYSIDE RETIREMENT HOME OF SIOUX CITY, IOWA | ||||||||||||
| Authorized official | DEBBIE MENZENBERG - (EXECUTIVE DIRECTOR) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 07/15/2005 | ||||||||||||
| Last updated | 09/11/2009 - About 17 years ago | ||||||||||||
| Identifiers |
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COUNTRYSIDE RETIREMENT HOME OF SIOUX CITY, IOWA