Organization · Type 2 NPI

Countryside TN Opco LLC

Skilled Nursing Facility · Lawrenceburg, TN

NPI number 1013492743 Active

Practice location

3051 Buffalo Rd
Lawrenceburg, TN 38464-6189

Call (931) 762-7518 Map

Mailing address

2071 Flatbush Ave Ste 12
Brooklyn, NY 11234-4340

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

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 r…

11 other providers at this address

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NPI record

NPI: 1013492743
Entity type: Organization (Type 2)
Issued: Sep 28, 2018
Last updated: Feb 8, 2023
Status: Active

Other names

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Countryside Health and Rehabilitation · doing business as
Countryside Health and Rehabilitation · doing business as

Authorized official

David Herskowitz
CEO
(212) 444-1991

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013492743

Countryside TN Opco LLC's National Provider Identifier is 1013492743, issued on Sep 28, 2018. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Lawrenceburg, TN. The record was last updated on Feb 8, 2023.