Countryside TN Rehab LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COUNTRYSIDE TN REHAB LLC

Doing business as

Countryside Post-Acute and Rehabilitation Center

Practice address

3051 Buffalo Rd
Lawrenceburg, TN 38464-6189

Phone

(931) 762-7518

Fax

(931) 762-7873

NPI assigned

May 24, 2023

Last updated

May 24, 2023By 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

Naftali Weiss

Title

Member

Phone

(917) 613-4386

Specialties & licenses 1

Addresses

Other names 1

• Countryside Post-Acute and Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497447841. Details of each certification follow.

• CCN 445280 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 445280

Legal name

COUNTRYSIDE TN REHAB LLC

Doing business as

COUNTRYSIDE POST-ACUTE AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 18, 1992

Last certification

Sep 10, 2021

Beds

162

Ownership / control type

Limited Liability Corporation

Multi-facility organization

Sayva Healthcare

Organization structure

LLCProprietary

Incorporated

Mar 17, 2023 in TN

Enrollment address

3051 Buffalo Rd
Lawrenceburg, TN 38464-6189

Nursing home name

COUNTRYSIDE POST-ACUTE AND REHABILITATION CENTER

Affiliated entity

PLAINVIEW HEALTHCARE PARTNERS

Listed as

Countryside Post-Acute and Rehabilitation CenterCCN 445280 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

2 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 18, 1992

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

16288.3 residents per day on average

Chain

Plainview Healthcare Partners9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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.

• Photios Michael Frank Vassilyadi, MD

  • Internal Medicine Physician
  • Mount Juliet, TN
  • NPI 1821519257
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• John Ramsey Ferguson, MD

  • Internal Medicine Physician
  • Lawrenceburg, TN
  • NPI 1538804091

  Nursing home

  Care Compare affiliation
• Photios Michael Frank Vassilyadi, MD

  • Internal Medicine Physician
  • Mount Juliet, TN
  • NPI 1821519257

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1497447841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 BUFFALO RD",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384646189",
            "telephone_number": "931-762-7518",
            "fax_number": "931-762-7873"
        },
        {
            "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",
            "fax_number": "931-762-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYSIDE TN REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "NAFTALI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-613-4386"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Countryside Post-Acute and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• April Marston Cothren, RN
• Hailey Elizabeth Cothren, FNP-C
• Cottages Lawrenceburg, LLC (Country Cottage)
• Country Cottage - RCL, LLC (Country Cottage)
• Countryside TN Opco LLC (Countryside Health and Rehabilitation)
• County of Lawrence (Lawrence County Ambulance Service)
• Kimberly Ann Crain
• Paisley Crane
• Crockett Foot and Ankle Clinic, Inc.
• Crockett Hospital LLC (Southern Tennessee Regional Health System Lawrenceburg)

• 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 May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.