COUNTRYHOUSE RESIDENCE
NPI 1477077808
Nursing Care in Lincoln, NE
NPI Status: Active since July 27, 2017
Contact Information
240 S 70TH ST
LINCOLN, NE
ZIP 68510
Phone: (402) 421-2200
Fax: (531) 289-1494
- Organization
- Nursing Care
- CLIA Number: 28D2115124
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 06-27-2026
About COUNTRYHOUSE RESIDENCE
This page provides the complete NPI Profile along with additional information for Countryhouse Residence, a provider established in Lincoln, Nebraska operating as a Nursing Care. The healthcare provider is registered in the NPI registry with number 1477077808 assigned on July 2017. The practitioner's primary taxonomy code is 251J00000X with license number ALF369 (NE). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Countryhouse Residence. The authorized official of this NPI record is Suzy Jessica Nootz (Executive Director)
- NPI
- 1477077808
- Provider Legal Name
- LINCOLN COUNTRYHOUSE III, LLC
- Other Organization Name
- COUNTRYHOUSE RESIDENCE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 240 S 70TH ST LINCOLN, NE 68510
- Location Phone
- (402) 421-2200
- Location Fax
- (531) 289-1494
- Mailing Address
- 240 S 70TH ST LINCOLN, NE 68510
- Mailing Phone
- (402) 421-2200
- Mailing Fax
- (531) 289-1494
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-27-2017
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nursing Care
- Taxonomy Code
- 251J00000X
- Type
- Agencies
- License No.
- ALF369
- License State
- NE
- Taxonomy Description
- A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 28D2115124
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- June 28, 2024
- Certificate Expiration Date
- June 27, 2026
- Laboratory Director
- ELIZABETH MORALES
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Countryhouse Residence to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1477077808, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477077808, enumerated as an "organization" on July 27, 2017.
The provider is located at 240 S 70TH ST LINCOLN, NE 68510 and the phone number is (402) 421-2200.
Nursing Care with taxonomy code 251J00000X.
