Countryside Care Center LLC
NPI 1538996038 · Skilled Nursing Facility · Macomb, IL
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Countryside Care Center LLC is a Skilled Nursing Facility organization in Macomb, IL (NPI 1538996038).
Provider details
- NPI number
- 1538996038
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Benjamin Friedman, Cfo(845) 414-3300
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
1 yr 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
- 2024-09-18
- Last updated
- 2024-09-18
- Certified
- 2024-09-18
Frequently asked questions
- What is Countryside Care Center LLC's NPI number?
- Countryside Care Center LLC's National Provider Identifier (NPI) is 1538996038, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Countryside Care Center LLC?
- Countryside Care Center LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Countryside Care Center LLC located?
- Countryside Care Center LLC's practice location on file with NPPES is 400 W Grant St, Macomb, IL 61455-2867.
- What is Countryside Care Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Countryside Care Center LLC is (309) 837-2386.
- Does Countryside Care Center LLC accept Medicare?
- Countryside Care Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Countryside Care Center LLC?
- The authorized official listed on Countryside Care Center LLC's NPPES record is Benjamin Friedman, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Countryside Care Center LLC's NPI active?
- Yes — Countryside Care Center LLC's NPI (1538996038) is active in the NPPES registry as of the last update on 2024-09-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.