Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Countryside Manor Healthcare Center

Pediatric Skilled Nursing Facility in Anderson, IN · enumerated 2006 · authorized official Hervey Lawrence, Administrator.

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

National Provider Identifier

1356300206

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Registry record

Entity type Organization (Type 2)

Legal business name Countryside Manor Healthcare Center

Practice address 205 Marine Dr, Anderson, IN, 46016

Phone (765) 649-4558

Fax (765) 641-1239

Enumeration date Mar 20, 2006

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

3140N1450X Pediatric Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Hervey Lawrence

Title Administrator

Phone (765) 649-4558

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

Where is Countryside Manor Healthcare Center located?

The practice location on file with NPPES is in Anderson, IN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.