Country View Nursing Facility, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031258 Issued in MO

Legal business name

COUNTRY VIEW NURSING FACILITY, INC.

Doing business as

Country View Nursing Facility

Practice address

2106 W Main St
Bowling Green, MO 63334-1049

Phone

(573) 324-2216

Fax

(573) 324-6065

NPI assigned

Jun 30, 2005

Last updated

Mar 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christina M Giardina

Title

President

Phone

(636) 394-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Country View Nursing Facility Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manuel Le-Yeng San, D.O.

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1245443548
  NPD (past)

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1043217573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 SOVEREIGN CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630114432",
            "telephone_number": "636-394-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 W MAIN ST",
            "city": "BOWLING GREEN",
            "state": "MO",
            "postal_code": "633341049",
            "telephone_number": "573-324-2216",
            "fax_number": "573-324-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY VIEW NURSING FACILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "GIARDINA",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-394-3000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102637600",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Country View Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Country View Nursing Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Richard Chismarich, D.D.S.
• Madison Collard, FNP
• James Collins, O.D.
• Dwight Charles Conlan Jr., D.D.S.
• Kimberly K. Cordes, AGNP-BC, CVNP-BC
• Kaitlyn Dandridge
• Tori Alayne Davis, RDH
• Denise M. Harvey Dba Advanced Eyecare (Bowling Green Eyecare LLC)
• Dialysis Clinic Inc. (Pike County Home Dialysis)
• Dialysis Clinic Inc.

• Skilled Nursing Facility in Bowling Green, MO
• Providers in Bowling Green, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.