NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Countryside Care Center, Inc.

Skilled Nursing Facility in Jackson, MI · enumerated 2006 · authorized official John Ganton, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164597688

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Countryside Care Center, Inc.
Practice address 2121 Robinson Rd, Jackson, MI, 49203
Phone (517) 787-4150
Enumeration date Nov 21, 2006
Last updated in NPPES Feb 2, 2023

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 38-4180 (MI) Primary

Authorized official

Name John Ganton
Title Administrator
Phone (517) 787-4150

Other identifiers

Identifier Type State Issuer
2153813 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Countryside Care Center, Inc.?
Countryside Care Center, Inc. is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-02-02.