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Countryside Manor, Inc
Skilled Nursing Facility in Stokesdale, North Carolina
NPI 1992790810

Countryside Manor, Inc is a Skilled Nursing Facility based in Stokesdale, NC. Countryside Manor, Inc practices in Stokesdale, NC. The NPI Number for Countryside Manor, Inc is 1992790810 and holds a License No. NH0226 (North Carolina).

The current practice location address for Countryside Manor, Inc is 7700 Us Highway 158, Stokesdale, NC and can be reached out via phone at 336-643-6301 and via fax at 336-643-9906.

Location: 7700 Us Highway 158, Stokesdale, NC, 27357-9346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992790810
Provider Name
Countryside Manor, Inc
Credential
Provider Entity Type
Organization
Address
7700 Us Highway 158, Stokesdale, NC, 27357-9346
Phone Number
336-643-6301
Fax Number
336-643-9906
Provider Enumeration Date
09/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3415390 05 NC
3416145 05 NC
institution
Provider Business Practice Location Address Details
Address
7700 Us Highway 158
City
Stokesdale
State
North Carolina
Zip
27357-9346
Phone Number
336-643-6301
Fax Number
336-643-9906
person
Provider Business Mailing Address Details
Address
7700 Us Highway 158
City
Stokesdale
State
North Carolina
Zip
27357-9346
Phone Number
336-643-6301
Fax Number
336-643-9906
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
NH0226 (North Carolina)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
NH0226 (North Carolina)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
person
Provider's Taxonomy Details 3
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
NH0226 (North Carolina)
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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