Countryside Manor Healthcare Center
NPI 1356300206 · Pediatric Skilled Nursing Facility · Anderson, IN
Countryside Manor Healthcare Center is a Pediatric Skilled Nursing Facility organization in Anderson, IN (NPI 1356300206).
Provider details
- NPI number
- 1356300206
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Hervey Lawrence, Administrator(765) 649-4558
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-03-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Countryside Manor Healthcare Center's NPI number?
- Countryside Manor Healthcare Center's National Provider Identifier (NPI) is 1356300206, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Countryside Manor Healthcare Center?
- Countryside Manor Healthcare Center is classified in the NPPES registry as Pediatric Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Countryside Manor Healthcare Center located?
- Countryside Manor Healthcare Center's practice location on file with NPPES is 205 Marine Dr, Anderson, IN 46016-5937.
- What is Countryside Manor Healthcare Center's phone number?
- The practice phone number listed in the NPPES registry for Countryside Manor Healthcare Center is (765) 649-4558.
- Who is the authorized official for Countryside Manor Healthcare Center?
- The authorized official listed on Countryside Manor Healthcare Center's NPPES record is Hervey Lawrence, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Countryside Manor Healthcare Center's NPI active?
- Yes — Countryside Manor Healthcare Center's NPI (1356300206) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.