COUNTRYHOUSE COUNCIL BLUFFS LLC
NPI 1104711621
Assisted Living Facility in Council Bluffs, IA

Q: What is Countryhouse Council Bluffs LLC's NPI number?

The NPI number for Countryhouse Council Bluffs LLC is 1104711621. It was assigned to this organization in the NPPES registry on June 12, 2025.

Q: What is Countryhouse Council Bluffs LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since June 12, 2025

1831 E KANESVILLE BLVD, COUNCIL BLUFFS, IA 51503(712) 322-4100 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Countryhouse Council Bluffs Llc NPPES

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

COUNTRYHOUSE COUNCIL BLUFFS LLC (NPI 1104711621) is a healthcare organization registered as an assisted living facility in Council Bluffs, Iowa and active in the NPI registry since June 2025. The organization lists Stacy Randels, Vp Asset Management, as its authorized official.

NPPES Registry Identity

NPI1104711621

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCOUNTRYHOUSE COUNCIL BLUFFS LLC

Location Address1831 E KANESVILLE BLVDCouncil Bluffs, IA 51503-4767

Mailing Address1831 E Kanesville BlvdCouncil Bluffs, IA 51503-4767 · (712) 322-4100

Phone(712) 322-4100

Organization SubpartNo

Authorized OfficialStacy RandelsVp Asset Management · (531) 800-3364

Enumeration DateJune 12, 2025

NPPES CertifiedJune 12, 2025

✔ NPI 1104711621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

1831 E KANESVILLE BLVD, Council Bluffs, IA 51503

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMA REHABILITATION, LLC

Clinic/Center (Multi-Specialty)

1831 E KANESVILLE BLVD
COUNCIL BLUFFS, IA 51503

Pottawattamie County (712) 322-4100

EMPOWERME MEDICAL GROUP, PC

Internal Medicine (Geriatric Medicine)

1831 E KANESVILLE BLVD
COUNCIL BLUFFS, IA 51503

Pottawattamie County (877) 367-9772

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 Countryhouse Council Bluffs LLC's NPI number?

The NPI number for Countryhouse Council Bluffs LLC is 1104711621. It was assigned to this organization in the NPPES registry on June 12, 2025.

Where is Countryhouse Council Bluffs LLC located?

Countryhouse Council Bluffs LLC is located at 1831 E Kanesville Blvd, Council Bluffs, IA 51503. The listed phone number is (712) 322-4100.

What is Countryhouse Council Bluffs LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Countryhouse Council Bluffs LLC was last updated on June 12, 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.