Countryside Manor LLC
Countryside Manor LLC is a healthcare organization registered as Nursing Facility/Intermediate Care Facility in Lamar, AR, holding Type 2 (organization) NPI 1275673642 since 2007. The authorized official on file is Justin Price, Member.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1275673642 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Countryside Manor LLC |
| Other name | <Unavail> |
| Practice address | 300 S THOMPSON RD, Lamar, AR, 72846 |
| Phone | 4797542052 |
| Fax | 4797545745 |
| Enumeration date | 2007-02-07 |
| Last updated in NPPES | 2008-02-19 |
Authorized official
| Name | Justin Price |
|---|---|
| Title | Member |
| Phone | 9189679285 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 313M00000X | Nursing Facility/Intermediate Care Facility | Primary | — | AR |
Copy-ready billing details
Provider: Countryside Manor LLC NPI: 1275673642 Taxonomy: 313M00000X (Nursing Facility/Intermediate Care Facility) Address: 300 S THOMPSON RD, Lamar, AR, 72846
Verify this record
Cross-check NPI 1275673642 against the authoritative CMS record: view Countryside Manor LLC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is the NPI number for Countryside Manor LLC?
Who is the authorized official for Countryside Manor LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-02-19.