Countryside Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-096-018 Issued in NC

Legal business name

COUNTRYSIDE LIVING

Practice address

5383 US 117 North
Pikeville, NC 27863-0335

Phone

(919) 242-6369

Fax

(919) 242-9884

NPI assigned

Jun 20, 2007

Last updated

Aug 22, 2020By 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

Mrs. Marsha Overman Sauls

Title

Administrator

Phone

(919) 242-6369

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184829038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 335",
            "city": "PIKEVILLE",
            "state": "NC",
            "postal_code": "278630335",
            "telephone_number": "919-242-6369",
            "fax_number": "919-242-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5383 US 117 NORTH",
            "city": "PIKEVILLE",
            "state": "NC",
            "postal_code": "278630335",
            "telephone_number": "919-242-6369",
            "fax_number": "919-242-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYSIDE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAULS",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "OVERMAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-242-6369",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-096-018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaynelle Bolling
• C&E Assisted Living, Inc (Pikeville Assisted Living)
• Kandi Renae Campbell, MD
• Dana Cea
• Kendra Kristine Core, PA
• Countryside Village LLC
• Christina Danielle Dixon
• Eastern Medical Associates, PA
• Empowered Approach, LLC
• Faithful Family Care

• Assisted Living Facility in Pikeville, NC
• Providers in Pikeville, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.