Countryside Assisted Living, Llc

LBN: Countryside Assisted Living, Llc
Countryside Assisted Living, Llc is an health care organization with primary practice located at 722 Phillips Pl , Huntsville AR 72740-9517. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Countryside Assisted Living, Llc can be contacted via phone (479) 738-1500, or through Box, Tara H via phone (479) 738-1500.

Contact Information

Primary practice address
722 Phillips Pl Huntsville AR 72740-9517
Phone: (479) 738-1500
Fax: (479) 738-1000
Website:
Map and Directions
Authorized official contact:
Name: Box, Tara H
Phone: (479) 738-1500

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 037 Arkansas

Profile Details

NPI number 1295028389
LBN Legal business name Countryside Assisted Living, Llc
DBA Doing business as
Authorized official Box, Tara H
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2011
Last updated May 23rd, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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