OrganizationActive
Countryside Care Centre Lp
NPI 1063498285 · Skilled Nursing Facility · Aurora, IL
Provider details
- NPI number
- 1063498285
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Braun, Controller(847) 583-0100
- License
- 40931 (IL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
2330 W Galena Blvd
Aurora, IL 60506-4246
Phone: (630) 896-4686
Fax: (630) 896-7868
Street-level locationGet directions
Mailing address
2330 W Galena Blvd
Aurora, IL 60506-4246
Registry dates
- Enumerated
- 2005-12-20
- Last updated
- 2012-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.