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

Countryside Retirement Home of Sioux City, Iowa

Organization Custodial Care Facility · NPI 1104825876

Countryside Retirement Home of Sioux City, Iowa is a Custodial Care Facility in Sioux City, Iowa. Licensed in Iowa. Registered with an NPI since 2005.

Licensed in
IA
In the registry since
2005
Specialties on file
2

Practice location Address checks out

6120 Morningside Ave
Sioux City, IA 51106-3943
Phone: (712) 276-3000
Fax: (712) 266-2167
Show map & directions

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

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary) Taxonomy 313M00000X · Licence N-0370 (IA)
Custodial Care Facility Taxonomy 311Z00000X · Licence R-0370 (IA)

Record details

NPI number1104825876
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debbie Menzenberg — Executive Director · (712) 276-3000
Other names Countryside Retirement Home, Inc.
NPI enumeratedJuly 15, 2005
Last updated in NPPESSeptember 11, 2009
Mailing address6120 Morningside Ave, Sioux City, IA 51106-3943

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