OrganizationActive
Countryside Health Services, LLC
NPI 1336252089 · Nursing Facility/Intermediate Care Facility · Warner, OK
Provider details
- NPI number
- 1336252089
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- John Rogers, Member(918) 404-3443
- License
- NH51025102 (OK)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Highway 64 East
Warner, OK 74469-0749
Phone: (918) 463-5143
Fax: (918) 463-5144
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 749
Warner, OK 74469-0749
Other names (DBA / former)
- Doing business as
- Countryside Estates, Inc.
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.