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

Countryside Manor Nursing and Rehabilitation LLC

Organization Skilled Nursing Facility · NPI 1952887549

Countryside Manor Nursing and Rehabilitation LLC is a Skilled Nursing Facility in Fremont, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018
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

1865 Countryside Dr
Fremont, OH 43420-8748
Phone: (419) 334-2602
Fax: (419) 344-6287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 2362N (OH)

Record details

NPI number1952887549
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hayley Williams — Attorney · (216) 706-3936
NPI enumeratedJuly 17, 2018
Last updated in NPPESJuly 17, 2018
Mailing address15 America Ave Unit 304, Lakewood, NJ 08701-4582

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