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Countryside Care Center LLC

Skilled Nursing Facility in Fresno, CA · enumerated 2021 · authorized official Tara Raymond, Administrator.

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

National Provider Identifier

1841875234

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Registry record

Entity type Organization (Type 2)
Legal business name Countryside Care Center LLC
Practice address 925 N Cornelia Ave, Fresno, CA, 93706
Phone (559) 554-2024
Enumeration date Mar 16, 2021
Last updated in NPPES Jul 6, 2021

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Tara Raymond
Title Administrator
Phone (559) 275-4785

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

What is the NPI number for Countryside Care Center LLC?
The NPI for Countryside Care Center LLC is 1841875234, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Countryside Care Center LLC?
NPPES lists Tara Raymond (Administrator) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-07-06.