Countryside Retirement Home of Sioux City, Iowa
NPI 1104825876ActiveOrganization· Nursing Facility/Intermediate Care Facility· Sioux City, IA
Nursing Facility/Intermediate Care Facility in Sioux City, Iowa, registered in NPPES in July 2005. The authorized official on file is Debbie Menzenberg, Executive Director.
Overview
| NPI | 1104825876 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 15, 2005 |
| Last updated in NPPES | Sep 11, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nursing Facility/Intermediate Care Facility Primary | 313M00000X | N-0370 | IA |
| Custodial Care Facility | 311Z00000X | R-0370 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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