Countryside TN Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COUNTRYSIDE TN OPCO LLC

Doing business as

Countryside Health and Rehabilitation

Practice address

3051 Buffalo Rd
Lawrenceburg, TN 38464-6189

Phone

(931) 762-7518

NPI assigned

Sep 28, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Herskowitz

Title

Ceo

Phone

(212) 444-1991

Specialties & licenses 1

Addresses

Other names 1

• Countryside Health and Rehabilitation Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1013492743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 FLATBUSH AVE STE 12",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112344340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 BUFFALO RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384646189",
            "telephone_number": "931-762-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYSIDE TN OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "HERSKOWITZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-444-1991"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Countryside Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Countryside Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cornerstone Family Medical
• April Marston Cothren, RN
• Hailey Elizabeth Cothren, FNP-C
• Cottages Lawrenceburg, LLC (Country Cottage)
• Country Cottage - RCL, LLC (Country Cottage)
• Countryside TN Rehab LLC (Countryside Post-Acute and Rehabilitation Center)
• County of Lawrence (Lawrence County Ambulance Service)
• Kimberly Ann Crain
• Paisley Crane
• Crockett Foot and Ankle Clinic, Inc.

• Skilled Nursing Facility in Lawrenceburg, TN
• Providers in Lawrenceburg, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.