Countryside Nursing and Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COUNTRYSIDE NURSING AND REHABILITATION CENTER, LLC

Practice address

6120 Morningside Ave
Sioux City, IA 51106-3943

Phone

(712) 276-3000

NPI assigned

Jul 24, 2009

Last updated

Sep 30, 2009By 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

Mr. Moshe Orlinsky

Title

Manager

Phone

(314) 588-7518

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1730319674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N BROADWAY",
            "address_2": "SUITE 2035",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631022711",
            "telephone_number": "314-588-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 MORNINGSIDE AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511063943",
            "telephone_number": "712-276-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYSIDE NURSING AND REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "ORLINSKY",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-588-7518",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0800300",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Copperstone Development
• Teri Marie Copple, LMHC
• Counseling and Support Services 1 Inc
• Counseling and Support Services Inc
• Countryside Health Investors LLC (Countryside Health Care Center)
• Countryside Retirement Home of Sioux City, Iowa (Countryside Retirement Home, Inc.)
• Kali Renae Covey
• Kylie J Cowdin, M.D.
• Jody Cox, CADC
• Scott David Cox, LISW

• Skilled Nursing Facility in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.