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

Countryside Manor LLC

Organization Nursing Care Agency · NPI 1144862376

Countryside Manor LLC is a Nursing Care Agency in Vandalia, Missouri. Registered with an NPI since 2019.

In the registry since
2019
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

1415 E US Highway 54
Vandalia, MO 63382-2908
Phone: (573) 594-6215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Care Agency (primary) Taxonomy 251J00000X

Record details

NPI number1144862376
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Harrower — Adminstrator · (573) 473-2563
NPI enumeratedOctober 9, 2019
Last updated in NPPESOctober 9, 2019
Mailing address1415 E Us Highway 54, Vandalia, MO 63382-2908

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