NPI age
20 years
Enumerated 2005-09-23
● Active Type 2 · Organization
Countryside Home Care, Inc
Countryside Home Care, Inc is 1 of 259 home health organizations in Idaho.
Primary specialty
Home Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Grover
Owner/administrator
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 259 active home health providers in Idaho.
NPI age
20 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-09Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
1213 Main St
Salmon, ID 834674324
Mailing address
1213 Main St
Salmon, ID 834674324
Authorized official
John Grover
Owner/administrator
📞 2087564032
Specialties
-
Home Health PrimaryA public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.