COUNTRYHOUSE RESIDENCES (NPI# 1093116998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093116998 |
| Entity Type | Organization |
| Organization Name | COUNTRYHOUSE RESIDENCES |
| Practice Address |
5030 S 155th St Omaha NE 68137-5002 |
| Practice Telephone | 4029642060 |
| Mailing Telephone | 4029642060 |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |
| Authorized Official Name | MRS. STEPHANIE MYRBERG (DIRECTOR) |
| Authorized Official Telephone | 4029642060 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | 2988 | NE | Nursing & Custodial Care Facilities |
| Street Address |
5030 S 155TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68137-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932747623 | Colby Tyler Twist | Physical Therapist | 5030 S 155th St, Omaha, NE 68137-5002 | 2019-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740803022 | Marcia Marie Malone | Nurse Practitioner | 5045 S 153rd St, Omaha, NE 68137 | 2020-05-21 |
| 1528626991 | Millard Family Hospital, LLC | Emergency Medicine | 14404 Stoney Brook Blvd, Omaha, NE 68137 | 2019-05-31 |
| 1104390855 | Millard Hills Dental Health Center LLC | Dentist | 14202 Y Street, Omaha, NE 68137 | 2019-01-16 |
| 1740750389 | Brett Skof | Specialist/Technologist | 6607 South 108th Court #210, Omaha, NE 68137 | 2018-11-27 |
| 1801374491 | Walnut Creek LLC | Pharmacy | 11020 Q Street, Omaha, NE 68137 | 2018-08-06 |
| 1326567686 | Lachelle Zuhlke | Psychologist | 5606 S. 147th Street, Omaha, NE 68137 | 2017-09-18 |
| 1043739766 | Rachel Miller | Registered Nurse | 5606 S. 147th St, Omaha, NE 68137 | 2017-09-13 |
| 1972029338 | Jill Marie Anderson | Social Worker | 5606 South 147th Street, Omaha, NE 68137 | 2017-08-17 |
| 1790153617 | Answers for Autism, LLC | Community/Behavioral Health | 6424 S 150th St., Omaha, NE 68137 | 2015-09-09 |
| 1912382383 | Rocky Mountain Holdings, LLC | Ambulance | 12916 Millard Airport Plz, Omaha, NE 68137 | 2015-07-27 |
| Find all providers in zip 68137 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629565452 | Compassionate Memory Care 2, Inc | Alzheimer Center (Dementia Center) | 407 S 86th St, Omaha, NE 68114-4250 | 2018-04-17 |
| 1245512979 | Via Christe LLC | Alzheimer Center (Dementia Center) | 15677 Spaulding St, Omaha, NE 68116-8411 | 2011-09-20 |
| 1114216561 | Edgewood Omaha Senior Living | Alzheimer Center (Dementia Center) | 17620 Poppleton Ave., Omaha, NE 68130-4614 | 2011-04-06 |
| 1154620078 | Compassionate Memory Care 1 Inc | Alzheimer Center (Dementia Center) | 2402 N 102nd St, Omaha, NE 68134-5530 | 2011-03-17 |
| 1760780936 | Silvercrest Fountain View Independent, Lp | Alzheimer Center (Dementia Center) | 5710 S 108th St, Omaha, NE 68137-3592 | 2011-03-11 |
| 1093267957 | Franciscan Centre | Alzheimer Center (Dementia Center) | 900 N 90th St, Omaha, NE 68114-8800 | 2016-10-26 |
| 1003296732 | Gahc3 Omaha Ne Alf Trs Sub, LLC | Alzheimer Center (Dementia Center) | 5710 S 108th St, Omaha, NE 68137-3592 | 2015-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962919472 | O'neill Senior Living, LLC | Alzheimer Center (Dementia Center) | 1203 E Hynes Ave., Oneill, NE 68763 | 2018-01-05 |
| 1871998104 | Hastings Memory Care, LLC | Alzheimer Center (Dementia Center) | 19209 Taylor Cir, Elkhorn, NE 68022-5234 | 2014-10-29 |
| 1679978134 | Fremont Memory Care, LLC | Alzheimer Center (Dementia Center) | 749 E 32nd St, Fremont, NE 68025-2312 | 2014-10-27 |
| 1235579525 | High Plains Alzheimer's Special Care Center | Alzheimer Center (Dementia Center) | 5601 S 84th St, Lincoln, NE 68516-4405 | 2013-07-01 |
| 1730425059 | The Waterford Memory Care South 27th, Inc. | Alzheimer Center (Dementia Center) | 8939 Keystone Dr, Lincoln, NE 68516-4127 | 2012-12-13 |
| 1780928036 | The Independence House Northview | Alzheimer Center (Dementia Center) | 1609 N St, Lincoln, NE 68508-1884 | 2012-11-26 |
| 1265723829 | Grand Island Countryhouse LLC | Alzheimer Center (Dementia Center) | 833 N Alpha St, Grand Island, NE 68803-4321 | 2011-04-29 |
| 1285923631 | Edgewood Grand Island Senior Living | Alzheimer Center (Dementia Center) | 214 N. Piper, Grand Island, NE 68803-4027 | 2011-04-06 |
| 1548559990 | Edgewood Columbus Senior Living | Alzheimer Center (Dementia Center) | 3386 53rd Ave., Columbus, NE 68601-1512 | 2011-04-06 |
| 1194014548 | Edgewood Hastings Senior Living | Alzheimer Center (Dementia Center) | 2400 W. 12th St., Hastings, NE 68901-3501 | 2011-04-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.