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OMAHA COUNTRYHOUSE LLC
NPI 1093116998
Alzheimer Center (Dementia Center) in Omaha, NE

Active since September 10, 2014
5030 S 155TH ST, OMAHA, NE 68137(402) 964-2060 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Omaha Countryhouse Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMAHA COUNTRYHOUSE LLC (NPI 1093116998) is a healthcare organization registered as an alzheimer center (dementia center) in Omaha, Nebraska and active in the NPI registry since September 2014. The organization lists Stacy L Randels, Vp, as its authorized official.

NPPES Registry Identity

NPI1093116998
Entity TypeOrganization
Primary Taxonomy311500000X
Legal Business NameOMAHA COUNTRYHOUSE LLC
Location Address5030 S 155TH STOmaha, NE 68137-5002
Mailing Address5030 S 155th StOmaha, NE 68137-5002 · (402) 964-2060
Phone(402) 964-2060
Organization SubpartNo
Authorized OfficialStacy L RandelsVp · (531) 800-3364
Enumeration DateSeptember 10, 2014
Last NPPES UpdateMay 22, 2025
NPPES CertifiedMay 20, 2025
✔ NPI 1093116998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAlzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
Taxonomy Code311500000X
License✔ Licensed in NE · 2988
Definition
A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.
5030 S 155TH ST, Omaha, NE 68137
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Other Names 1

Doing Business AsOmaha Countryhouse Llc

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omaha Countryhouse LLC's NPI number?

The NPI number for Omaha Countryhouse LLC is 1093116998. It was assigned to this organization in the NPPES registry on September 10, 2014.

Where is Omaha Countryhouse LLC located?

Omaha Countryhouse LLC is located at 5030 S 155th St, Omaha, NE 68137. The listed phone number is (402) 964-2060.

What is Omaha Countryhouse LLC's specialty?

The primary specialty registered for this NPI is Alzheimer Center (Dementia Center) with taxonomy code 311500000X.

When was this NPI record last updated?

The NPPES record for Omaha Countryhouse LLC was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.