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.

OrganizationActiveAccepts Medicare

Countryside Care Center LLC

NPI 1538996038 · Skilled Nursing Facility · Macomb, IL

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

Practice location

400 W Grant St

Macomb, IL 61455-2867

Phone: (309) 837-2386

Fax: (309) 836-9191

Street-level locationGet directions

More IL providers

Mailing address

7b Medical Park Dr

Pomona, NY 10970-3516

Specialties & taxonomies

Skilled Nursing FacilityPrimary314000000X
Nursing & Custodial Care Facilities

Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(56/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions