CM
COUNTRYSIDE MANOR NURSING AND REHABILITATION LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
FREMONT, OH
Licensed since
2018
Rate
—
Federal compliance record
Total fines$32,938
Payment denials / penalties2
Abuse flagNone on record
Federal identifiers
NPI registry number1952887549
CMS Certification Number (CCN)365418
Agency details
Avg residents / day71.8
OwnershipFor profit - Limited Liability company
Chain affiliationCCH HEALTHCARE
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameHAYLEY WILLIAMS
TitleATTORNEY
Phone4193342602
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Source: NPI Registry · Last refreshed June 24, 2026