Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Countryside Assisted Living, LLC

Organization Assisted Living Facility · NPI 1295028389

Countryside Assisted Living, LLC is an Assisted Living Facility in Huntsville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2011.

Licensed in
AR
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

722 Phillips Pl
Huntsville, AR 72740-9517
Phone: (479) 738-1500
Fax: (479) 738-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 037 (AR)

Record details

NPI number1295028389
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Box — Administrator · (479) 738-1500
NPI enumeratedMay 23, 2011
Last updated in NPPESMay 23, 2011
Mailing address722 Phillips Pl, Huntsville, AR 72740-9517

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