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Countryside Convalescent Home Limited Partnership

Skilled Nursing Facility in Mercer, PA · enumerated 2005 · authorized official Steven Tack, Ceo.

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

National Provider Identifier

1376537431

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Registry record

Entity type Organization (Type 2)
Legal business name Countryside Convalescent Home Limited Partnership
Practice address 8221 Lamor Rd, Mercer, PA, 16137
Phone (724) 431-0770
Fax (724) 431-0764
Enumeration date Sep 6, 2005
Last updated in NPPES Aug 14, 2014

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Steven Tack
Title Ceo
Phone (724) 431-0770

Other identifiers

Identifier Type State Issuer
1121 Other - HIGHMARK BC
1501006 Other PA GATEWAY HP
0012990090001 Medicaid PA -
263249 Other PA HEALTH AMERICA
305354 Other - UPMC

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-08-14. Verify at npiregistry.cms.hhs.gov.
Where is Countryside Convalescent Home Limited Partnership located?
The practice location on file with NPPES is in Mercer, PA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-08-14.