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Countryside Care Center LLC

Skilled Nursing Facility in Macomb, IL · enumerated 2024 · authorized official Benjamin Friedman, Cfo.

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

National Provider Identifier

1538996038

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Registry record

Entity type Organization (Type 2)
Legal business name Countryside Care Center LLC
Practice address 400 W Grant St, Macomb, IL, 61455
Phone (309) 837-2386
Fax (309) 836-9191
Enumeration date Sep 18, 2024
Last updated in NPPES Sep 18, 2024

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Benjamin Friedman
Title Cfo
Phone (845) 414-3300

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

Where is Countryside Care Center LLC located?
The practice location on file with NPPES is in Macomb, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-09-18. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-09-18.