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

Countryside Center for Rehabilitation and Nursing, LLC

Organization Adult Care Home Facility · NPI 1972003721

Countryside Center for Rehabilitation and Nursing, LLC is an Adult Care Home Facility in Bardwell, Kentucky. Licensed in Kentucky. Registered with an NPI since 2018.

Licensed in
KY
In the registry since
2018
Specialties on file
3
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

47 Margo Ave
Bardwell, KY 42023-9005
Phone: (270) 628-5424
Show map & directions

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

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X (KY)
Adult Care Home Facility Taxonomy 311ZA0620X (KY)
Respite Care Taxonomy 385H00000X (KY)

Record details

NPI number1972003721
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mick Vujanovic — Ceo · (502) 667-8150
Other names Countryside Center For Rehabilitation And Nursing
NPI enumeratedFebruary 19, 2018
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing address2100 Cherokee Ridge Way Ste 100, Louisville, KY 40205-1600