COUNTRYSIDE TN OPCO LLC (NPI# 1013492743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013492743 |
| Entity Type | Organization |
| Organization Name | COUNTRYSIDE TN OPCO LLC |
| Practice Address |
3051 Buffalo Rd Lawrenceburg TN 38464-6189 |
| Mailing Address |
2071 Flatbush Ave Ste 12 Brooklyn NY 11234-4340 |
| Practice Telephone | 9317627518 |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2018-09-28 |
| Authorized Official Name | ISAAC MOSKOWITZ (CEO) |
| Authorized Official Telephone | 2123901054 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Countryside Health and Rehabilitation | Doing Business As Name - Organization |
| Street Address |
3051 BUFFALO RD |
| City | LAWRENCEBURG |
| State | TN |
| Zip Code | 38464-6189 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536047 | Lawrenceburg Nh Operations, LLC | Skilled Nursing Facility | 3051 Buffalo Rd, Lawrenceburg, TN 38464-6189 | 2005-05-24 |
| 1417324211 | Erika Leigh Crowell | Nurse Practitioner | 3051 Buffalo Rd, Lawrenceburg, TN 38464-6189 | 2015-08-27 |
| 1164801924 | Monica Newton | Nurse Practitioner | 3051 Buffalo Rd, Lawrenceburg, TN 38464-6189 | 2015-05-27 |
| 1528290632 | Vanessa Lynn Hanson | Occupational Therapy Assistant | 3051 Buffalo Rd, Lawrenceburg, TN 38464-6189 | 2009-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265099782 | Yolande P Parson | Social Worker | 1236 1st Ave, Lawrenceburg, TN 38464 | 2019-05-20 |
| 1457878928 | Sheila Ann Turpen | Occupational Therapist | 2380 Buffalo Road, Lawrenceburg, TN 38464 | 2017-08-25 |
| 1790035863 | Donna Cheryll Collins | Nurse Practitioner | 129 South Locust Ave, Lawerenceburg, TN 38464 | 2012-09-14 |
| 1548558943 | John T. Will, D.d.s. | Dentist | 234 East Gaines St, Lawrenceburg, TN 38464 | 2011-07-19 |
| 1093008476 | James Lawson Sullenger | Pharmacist | 2201 North Locust Ave, Lawrenceburg, TN 38464 | 2011-05-18 |
| 1346412624 | Respi-care Inc. | Durable Medical Equipment & Medical Supplies | 14 Public Square, Lawrenceburg, TN 38464 | 2008-03-27 |
| 1215144936 | Amg-crockett, LLC | Urology | Us Highway 43 South, Lawrenceburg, TN 38464 | 2007-05-16 |
| 1548472715 | Lawrence County Senior Citizens Club Inc | Non-emergency Medical Transport (VAN) | 220 Centennial Blvd., Lawrenceburg, TN 38464 | 2007-05-03 |
| 1316169345 | Bernard T Beuerlein | Pharmacist | 111 North Columbia Ave, Lawrenceburg, TN 38464 | 2007-05-02 |
| 1528289188 | Richard Dean Jennings | Pharmacist | 11 Public Square, Lawrenceburg, TN 38464 | 2007-05-01 |
| Find all providers in zip 38464 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | 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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588968093 | Dearborn County Hospital | Skilled Nursing Facility | 181 Campus Dr, Lawrenceburg, IN 47025-1387 | 2010-12-28 |
| 1255366308 | Magnolia Enterprises | Skilled Nursing Facility | 403 Bielby Rd, Lawrenceburg, IN 47025-1003 | 2006-07-11 |
| 1306883749 | National Health Corporation | Skilled Nursing Facility | 374 Brink St, Lawrenceburg, TN 38464-3280 | 2006-06-02 |
| 1720033681 | Nhc Healthcare-scott LLC | Skilled Nursing Facility | 2380 Buffalo Rd, Lawrenceburg, TN 38464-4809 | 2006-05-22 |
| 1821087735 | New Heritage Hall Health & Rehabilitation Center, LLC | Skilled Nursing Facility | 331 S Main St, Lawrenceburg, KY 40342-1215 | 2005-10-14 |
| 1437159134 | Shady Nook Nursing Home, Inc | Skilled Nursing Facility | 36 Valley Dr, Lawrenceburg, IN 47025-1084 | 2005-07-26 |
| 1275536047 | Lawrenceburg Nh Operations, LLC | Skilled Nursing Facility | 3051 Buffalo Rd, Lawrenceburg, TN 38464-6189 | 2005-05-24 |
| 1831569003 | Lp Lawrenceburg, LLC | Skilled Nursing Facility | 331 S Main St, Lawrenceburg, KY 40342-1215 | 2015-10-01 |
| 1235403593 | Dearborn County Hospital | Skilled Nursing Facility | 36 Valley Dr, Lawrenceburg, IN 47025-1084 | 2012-03-05 |
| 1902920069 | Witham Memorial Hospital | Skilled Nursing Facility | 403 Bielby Rd, Lawrenceburg, IN 47025 | 2007-03-16 |
| Find all providers in LAWRENCEBURG | ||||
| City | LAWRENCEBURG |
| Zip Code | 38464 |
Please comment or provide details below to improve the information on COUNTRYSIDE TN OPCO LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.