OrganizationActive
Countryside Retirement Home of Sioux City, Iowa
NPI 1104825876 · Nursing Facility/Intermediate Care Facility · Sioux City, IA
Provider details
- NPI number
- 1104825876
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Debbie Menzenberg, Executive Director(712) 276-3000
- License
- R-0370 (IA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
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
6120 Morningside Ave
Sioux City, IA 51106-3943
Phone: (712) 276-3000
Fax: (712) 266-2167
Street-level locationGet directions
Mailing address
6120 Morningside Ave
Sioux City, IA 51106-3943
Other names (DBA / former)
- Doing business as
- Countryside Retirement Home, Inc.
Registry dates
- Enumerated
- 2005-07-15
- Last updated
- 2009-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.