1. Home
  2. Directory
  3. Nebraska
  4. Grand Island
  5. Alzheimer Center Dementia Center
  6. NPI Profile

GRAND ISLAND COUNTRYHOUSE LLC
NPI 1265723829
Alzheimer Center (Dementia Center) in Grand Island, NE

Active since April 29, 2011
833 N ALPHA ST, GRAND ISLAND, NE 68803(308) 381-1988(308) 381-4005 Get Directions Write a Review

NPPES record last updated: April 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Island Countryhouse Llc NPPES

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

GRAND ISLAND COUNTRYHOUSE LLC (NPI 1265723829) is a healthcare organization registered as an alzheimer center (dementia center) in Grand Island, Nebraska and active in the NPI registry since April 2011. The organization lists Stacy Glock, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1265723829
Entity TypeOrganization
Primary Taxonomy311500000X
Legal Business NameGRAND ISLAND COUNTRYHOUSE LLC
Location Address833 N ALPHA STGrand Island, NE 68803-4321
Mailing Address833 N Alpha StGrand Island, NE 68803-4321 · (308) 381-1988 · Fax (308) 381-4005
Phone(308) 381-1988
Fax(308) 381-4005
Organization SubpartYesParent: Agemark Corporation
Authorized OfficialStacy GlockExecutive Director · (308) 381-1988
Enumeration DateApril 29, 2011
✔ NPI 1265723829 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 · ALF300
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.
833 N ALPHA ST, Grand Island, NE 68803
Open in Google Maps ↗

Other Identifiers 1

Medicaid=========00NE

Other Providers at the Same Location NPPES

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

EMPOWERME MEDICAL GROUP, PC
Internal Medicine (Geriatric Medicine)
833 N ALPHA ST
GRAND ISLAND, NE 68803
Hall 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 Grand Island Countryhouse LLC's NPI number?

The NPI number for Grand Island Countryhouse LLC is 1265723829. It was assigned to this organization in the NPPES registry on April 29, 2011.

Where is Grand Island Countryhouse LLC located?

Grand Island Countryhouse LLC is located at 833 N Alpha St, Grand Island, NE 68803. The listed phone number is (308) 381-1988.

What is Grand Island 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 Grand Island Countryhouse LLC was last updated on April 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.