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

Assisted Living Facility

NH0226 (North Carolina)
2 313M00000X Nursing Facility/Intermediate Care Facility

Nursing Facility/Intermediate Care Facility

NH0226 (North Carolina)
3 314000000X Skilled Nursing Facility

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
1992790265 STEPHEN RAY COLEMAN
Individual
Pediatrics 8300 HEALTH PARK STE 213
RALEIGH, North Carolina (NC)
919-896-7066
1992789960 BOYDEN DEAN MELTON
Individual
Counselor, Addiction (Substance Use Disorder) 417 N MAIN ST
SALISBURY, North Carolina (NC)
336-416-0892
1992789457 HAROLD R. HOWE
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery) 301 HAWTHORNE LN
CHARLOTTE, North Carolina (NC)
704-316-5100
1992789341 TRACY LYNN EASTRIDGE
Individual
Dietitian, Registered 4525 CAMERON VALLEY PKWY
CHARLOTTE, North Carolina (NC)
704-302-9462
1992789275 GEORGE RANDALL DIXSON
Individual
Radiology, Diagnostic Radiology 4733 HIGHWAY 64 E
MURPHY, North Carolina (NC)
828-837-0990