OrganizationActive
Countryside Home, LLC
NPI 1043520133 · Assisted Living Facility · Lebanon, MO
Countryside Home, LLC is a Assisted Living Facility organization in Lebanon, MO (NPI 1043520133).
Provider details
- NPI number
- 1043520133
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Howlett, Owner/Administrator(417) 532-7418
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24499 Park Dr
Lebanon, MO 65536-5843
Phone: (417) 532-7418
Fax: (417) 532-9359
Street-level locationGet directions
Mailing address
24499 Park Dr
Lebanon, MO 65536-5843
Registry dates
- Enumerated
- 2010-10-07
- Last updated
- 2010-10-07
Frequently asked questions
- What is Countryside Home, LLC's NPI number?
- Countryside Home, LLC's National Provider Identifier (NPI) is 1043520133, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Countryside Home, LLC?
- Countryside Home, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Countryside Home, LLC located?
- Countryside Home, LLC's practice location on file with NPPES is 24499 Park Dr, Lebanon, MO 65536-5843.
- What is Countryside Home, LLC's phone number?
- The practice phone number listed in the NPPES registry for Countryside Home, LLC is (417) 532-7418.
- Who is the authorized official for Countryside Home, LLC?
- The authorized official listed on Countryside Home, LLC's NPPES record is Mary Howlett, Owner/Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Countryside Home, LLC's NPI active?
- Yes — Countryside Home, LLC's NPI (1043520133) is active in the NPPES registry as of the last update on 2010-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.