Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Countryside Manor Healthcare Center

Organization Pediatric Skilled Nursing Facility · NPI 1356300206

Countryside Manor Healthcare Center is a Pediatric Skilled Nursing Facility in Anderson, Indiana. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

205 Marine Dr
Anderson, IN 46016-5937
Phone: (765) 649-4558
Fax: (765) 641-1239
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Skilled Nursing Facility (primary) Taxonomy 3140N1450X

Record details

NPI number1356300206
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hervey Lawrence — Administrator · (765) 649-4558
NPI enumeratedMarch 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing address205 Marine Dr, Anderson, IN 46016-5937