P Praxis·MD
● Active Type 2 · Organization

Countryside Home Care, Inc

Home Health·Salmon, ID· NPI 1336135318 · Enumerated 2005 · 20 years on NPI
Countryside Home Care, Inc is 1 of 259 home health organizations in Idaho.
NPI age
20 years
Enumerated 2005-09-23
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
📞 2087564032fax 2087566477
Mailing address
1213 Main St
Salmon, ID 834674324
📞 2087564032fax 2087566477

Authorized official

John Grover
Owner/administrator
📞 2087564032

Specialties

  • Home Health Primary
    A 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...
    taxonomy 251E00000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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