Countryside Care Center LLC
NPI 1841875234 · Skilled Nursing Facility · Fresno, CA
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 Fresno, CA (NPI 1841875234).
Provider details
- NPI number
- 1841875234
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tara Raymond, Administrator(559) 275-4785
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
5 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
- 2021-03-16
- Last updated
- 2021-07-06
- Certified
- 2021-07-06
Frequently asked questions
- What is Countryside Care Center LLC's NPI number?
- Countryside Care Center LLC's National Provider Identifier (NPI) is 1841875234, 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 925 N Cornelia Ave, Fresno, CA 93706-1031.
- What is Countryside Care Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Countryside Care Center LLC is (559) 554-2024.
- 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 Tara Raymond, Administrator. 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 (1841875234) is active in the NPPES registry as of the last update on 2021-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.