National Provider Identifier Database

COUNTRYSIDE HOME
Skilled Nursing Facility

(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.


Contact Information

COUNTRYSIDE HOME
703 N MAIN ST
MADISON, NE68748-6009
Phone: 402-454-3373
Fax: 402-454-6509
Website:
Specialty Taxonomy Code
* Skilled Nursing Facility 314000000X

* Indicates primary specialty

NPI Profile & details for COUNTRYSIDE HOME

NPI Number 1902881022
Legal business name
LBN
COUNTRYSIDE HOME
Authorized official LINDA ANDERSON - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 12/13/2005
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • NE Other: 0637150001 MEDICARE DME

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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