Countryside Retirement Home, Inc. – Nursing Facility/Intermediate Care Facility, NPI 1104825876

Countryside Retirement Home, Inc. is a healthcare provider. based in Sioux city, Iowa. specializing in Nursing Facility/Intermediate Care Facility. The organization holds a License No. R-0370 (IA). The NPI Number for Countryside Retirement Home, Inc. is 1104825876

Main info

Organization
Name
Countryside Retirement Home, Inc.
NPI
1104825876
Phone
(712) 276-3000
Address
6120 MORNINGSIDE AVE
Authorized Official
DEBBIE MENZENBERG EXECUTIVE DIRECTOR
Enumeration Date
15 July 2005
Last Update Date
11 September 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness80
Years active:20State licenses:2Digital endpointsUpdated within 12 months

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Provider Addresses for Countryside Retirement Home, Inc.

  • Countryside Health Care Center, 6120, Morningside Avenue, Sioux City, Woodbury County, Iowa, 51106, United States

    SIOUX CITY, IA 511063943

    Phone: (712) 276-3000

    Fax: (712) 266-2167

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 51106)

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Reviews

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Frequently asked questions

What identifier follows Countryside Retirement Home, Inc. across health systems?
The NPI 1104825876 uniquely identifies Countryside Retirement Home, Inc. in U.S. healthcare data.
Quick check: is Countryside Retirement Home, Inc. active?
Public NPPES data shows Countryside Retirement Home, Inc. with an active NPI status right now.
Which specialty label fits Countryside Retirement Home, Inc.?
NPPES ties Countryside Retirement Home, Inc. to Nursing Facility/Intermediate Care Facility in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to Countryside Retirement Home, Inc.?
The directory associates Countryside Retirement Home, Inc. with Sioux City, Iowa. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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