Countryside Center for Rehabilitation and Nursing, LLC
NPI 1972003721 · Skilled Nursing Facility · Bardwell, KY
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Countryside Center for Rehabilitation and Nursing, LLC is a Skilled Nursing Facility organization in Bardwell, KY (NPI 1972003721).
Provider details
- NPI number
- 1972003721
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Mick Vujanovic, Ceo(502) 667-8150
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Adult Care Home Facility311ZA0620X
Nursing & Custodial Care Facilities
- Respite Care385H00000X
Respite Care Facility
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Other names (DBA / former)
- Doing business as
- Countryside Center for Rehabilitation and Nursing
Registry dates
- Enumerated
- 2018-02-19
- Last updated
- 2024-10-09
- Certified
- 2024-10-09
Frequently asked questions
- What is Countryside Center for Rehabilitation and Nursing, LLC's NPI number?
- Countryside Center for Rehabilitation and Nursing, LLC's National Provider Identifier (NPI) is 1972003721, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Countryside Center for Rehabilitation and Nursing, LLC?
- Countryside Center for Rehabilitation and Nursing, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Countryside Center for Rehabilitation and Nursing, LLC located?
- Countryside Center for Rehabilitation and Nursing, LLC's practice location on file with NPPES is 47 Margo Ave, Bardwell, KY 42023-9005.
- What is Countryside Center for Rehabilitation and Nursing, LLC's phone number?
- The practice phone number listed in the NPPES registry for Countryside Center for Rehabilitation and Nursing, LLC is (270) 628-5424.
- Does Countryside Center for Rehabilitation and Nursing, LLC accept Medicare?
- Countryside Center for Rehabilitation and Nursing, 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 Center for Rehabilitation and Nursing, LLC?
- The authorized official listed on Countryside Center for Rehabilitation and Nursing, LLC's NPPES record is Mick Vujanovic, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Countryside Center for Rehabilitation and Nursing, LLC's NPI active?
- Yes — Countryside Center for Rehabilitation and Nursing, LLC's NPI (1972003721) is active in the NPPES registry as of the last update on 2024-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.