COUNTRYSIDE MANOR, INC
NPI 1992790810
Assisted Living Facility in Stokesdale,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 16, 2005

Contact Information

7700 Us Highway 158
Stokesdale,
Post Code: 27357
Phone: (336) 643-6301
Fax: (336) 643-9906

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Countryside Manor, Inc in Stokesdale - Assisted Living Facility

Countryside Manor, Inc is a Assisted Living Facility in Stokesdale, . Countryside Manor, Inc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Countryside Manor, Inc is 1992790810. The last update date is 2020-08-22.

Countryside Manor, Inc's current location address is 7700 Us Highway 158, Stokesdale, . You can contact this provider via phone number (336) 643-6301 and fax number (336) 643-9906. The mailing address for Countryside Manor, Inc is 7700 Us Highway 158, Stokesdale, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1992790810
Provider Legal Name
COUNTRYSIDE MANOR, INC
Other Organization Name
COUNTRYSIDE MANOR, INC
Other Name Type
-
Entity Type
Organization
Location Address
7700 Us Highway 158, Stokesdale,
Location Phone
(336) 643-6301
Location Fax
(336) 643-9906
Mailing Address
7700 Us Highway 158, Stokesdale, North Carolina(NC)
Mailing Phone
336-643-6301
Mailing Fax
336-643-9906
Enumeration Date
2005-09-16
Last Update Date
2020-08-22
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 310400000X -

Assisted Living Facility

NH0226 (North Carolina)
2 313M00000X -

Nursing Facility/Intermediate Care Facility

NH0226 (North Carolina)
3 314000000X -

Skilled Nursing Facility

NH0226 (North Carolina)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3415390 MEDICAID (05) North Carolina (NC)
3416145 MEDICAID (05) North Carolina (NC)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992790810
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29182149082
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 29182149082
2 + 9 + 1 + 8 + 2 + 1 + 4 + 9 + 0 + 8 + 2 + 24 = 70
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
0

The NPI number 1992790810 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1497758544 CUMBERLAND COUNTY HOSPITAL SYSTEM, INC
CAPE FEAR VALLEY HOME HEALTH AND HOSPICE
Organization
Hospice Care, Community Based 3418 VILLAGE DR
FAYETTEVILLE, North Carolina (NC)
910-609-6740
1114920162 JON DUBOSE
Individual
Pediatrics 111 HOSPITAL DR
TARBORO, North Carolina (NC)
252-641-7700
1225031271 JOHN DAVID SHEPHERD
Individual
Internal Medicine, Nephrology 293 OLMSTED BLVD
PINEHURST, North Carolina (NC)
910-295-3344
1033112081 JOHN PATRICK FOGARTY
Individual
Internal Medicine, Pulmonary Disease 1850 W ARLINGTON BLVD
GREENVILLE, North Carolina (NC)
252-752-6101
1821091851 CUMBERLAND COUNTY HOSPITAL SYSTEM INC
SOUTHEASTERN REGIONAL REHABILITATION CENTER
Organization
General Acute Care Hospital 1638 OWEN DR
FAYETTEVILLE, North Carolina (NC)
910-609-6440