Countryside Center for Rehabilitation and Nursing, LLC
NPI 1972003721ActiveOrganization· Skilled Nursing Facility· Bardwell, KY
Skilled Nursing Facility in Bardwell, Kentucky, registered in NPPES in February 2018. The authorized official on file is Mick Vujanovic, Ceo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1972003721 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 19, 2018 |
| Last updated in NPPES | Oct 9, 2024 |
| Certified by provider | Oct 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | KY |
| Custodial Care Facility, Adult Care Home | 311ZA0620X | — | KY |
| Respite Care | 385H00000X | — | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (KY) |
|---|
Other Skilled Nursing Facility providers in Bardwell
- 1851402093
- 1164420451
- 1184040784
- 1558787150