Organization · Type 2 NPI

Countryside Care Center LLC

Skilled Nursing Facility · Macomb, IL

NPI number 1538996038 Active

Practice location

400 W Grant St
Macomb, IL 61455-2867

Fax (309) 836-9191

Mailing address

7B Medical Park Dr
Pomona, NY 10970-3516

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone 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…

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About NPI 1538996038

Countryside Care Center LLC's National Provider Identifier is 1538996038, issued on Sep 18, 2024. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Macomb, IL. The record was last updated on Sep 18, 2024.