Countryside Catered Senior Living – Assisted Living Facility, NPI 1124234554

Countryside Catered Senior Living is a healthcare provider. based in Shoreview, Minnesota. specializing in Assisted Living Facility. The organization holds a License No. 334372 (MN). The NPI Number for Countryside Catered Senior Living is 1124234554

Main info

Organization
Name
Countryside Catered Senior Living
NPI
1124234554
Phone
(651) 766-4300
Address
3530 LEXINGTON AVE N
Authorized Official
DOUGLAS HARRISON CFO
Enumeration Date
15 May 2007
Last Update Date
22 April 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness90
Years active:19State licenses:1Digital endpoints

Loading map...

Provider Addresses for Countryside Catered Senior Living

  • 3530, Lexington Avenue North, Lake Judy, Shoreview, Ramsey County, Minnesota, 55126, United States

    SHOREVIEW, MN 551268166

    Phone: (651) 766-4300

    Type: Mailing

  • Ecumen Countryside, 650, El Dorado Street, Owatonna, Steele County, Minnesota, 55060, United States

    OWATONNA, MN 55060

    Phone: (507) 446-8334

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 55126)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify Countryside Catered Senior Living for billing?
Administrative and clinical systems typically use NPI 1124234554 for Countryside Catered Senior Living.
Is Countryside Catered Senior Living currently accepting referrals based on NPI status?
Registry metadata lists Countryside Catered Senior Living as active.
What services align with Countryside Catered Senior Living's listing?
Countryside Catered Senior Living's public classification highlights Assisted Living Facility. Clinical services aligned with this taxonomy classification.
Can patients visit Countryside Catered Senior Living in Shoreview, Minnesota?
For routing, start with Shoreview, Minnesota for Countryside Catered Senior Living, then verify phone and hours locally.
Who maintains Countryside Catered Senior Living's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

Pathstone Living

Skilled Nursing Facility
3530, Lexington Avenue North, Lake Judy, Shoreview, Ramsey County, Minnesota, 55126, United States
NPI: 1194745992

Lakeview Commons

Assisted Living Facility
3530, Lexington Avenue North, Lake Judy, Shoreview, Ramsey County, Minnesota, 55126, United States
NPI: 1649484601

The Prairie Lodge at Earle Brown

Assisted Living Facility
3530, Lexington Avenue North, Lake Judy, Shoreview, Ramsey County, Minnesota, 55126, United States
NPI: 1497969455

Country Neighbors, Lake Crystal

Assisted Living Facility
3530, Lexington Avenue North, Lake Judy, Shoreview, Ramsey County, Minnesota, 55126, United States
NPI: 1568676534

The Brooks on St. Paul

Assisted Living Facility
2480 SAINT PAUL RD
NPI: 1811101884

Meadows of Worthington

Assisted Living Facility
1801 COLLEGEWAY
NPI: 1265646236

Ecumen New Richland

Assisted Living Facility
3530, Lexington Avenue North, Lake Judy, Shoreview, Ramsey County, Minnesota, 55126, United States
NPI: 1033323001

Centennial House of Apple Valley

Assisted Living Facility
3530, Lexington Avenue North, Lake Judy, Shoreview, Ramsey County, Minnesota, 55126, United States
NPI: 1538373048

The Evergreens of Moorhead

Assisted Living Facility
3530, Lexington Avenue North, Lake Judy, Shoreview, Ramsey County, Minnesota, 55126, United States
NPI: 1588878086