LINCOLN COUNTRYHOUSE LLC (NPI# 1205187069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205187069 |
| Entity Type | Organization |
| Organization Name | LINCOLN COUNTRYHOUSE LLC |
| Practice Address |
5720 S 25th St Lincoln NE 68512-2000 |
| Mailing Address |
5720 S. 25th Street Lincoln NE 68512 |
| Practice Telephone | 4024211160 |
| Mailing Telephone | 4024211160 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |
| Authorized Official Name | LAURA THELEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4024991722 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | ALF327 | NE | Nursing & Custodial Care Facilities |
| Street Address |
5720 S 25TH ST |
| City | LINCOLN |
| State | NE |
| Zip Code | 68512-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811534167 | Ema Rehabilitation, LLC | Occupational Therapist | 5720 S 25th St, Lincoln, NE 68512-2000 | 2019-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013540673 | Unity Youth & Family Services, LLC | Counselor | 6245 Windhaven Drive, Lincoln, NE 68512 | 2020-02-21 |
| 1568961530 | Japhia Warren | Licensed Practical Nurse | 7001 S. 14th Street, Lincoln, NE 68512 | 2018-02-06 |
| 1225547433 | Costco Wholesale Corportation | Pharmacy | 1620 Pine Lake Road, Lincoln, NE 68512 | 2017-09-20 |
| 1447774427 | Adjusted Life Chiropractic LLC | Chiropractor | 2601 Jamie Ln, Ste 104, Lincoln, NE 68512 | 2017-08-01 |
| 1144740101 | Spencer Norton Brown | Chiropractor | 2600 Jamie Ln, Suite 104, Lincoln, NE 68512 | 2017-06-21 |
| 1669826293 | Shaun Stinson | Dentist | 6835 S. 27th St., Ste 2, Lincoln, NE 68512 | 2016-04-20 |
| 1407100324 | Robert M. Lane | Chiropractor | 1245 Libra Dr., Suite 100, Lincoln, NE 68512 | 2012-10-30 |
| 1689782609 | Lynette S Erickson | Counselor | 5539 S 27th, Suite 101, Lincoln, NE 68512 | 2006-08-29 |
| 1699883561 | Duane E Wade | Physical Therapist | 5633 S 16th St Ste 600, Lincoln, NE 68512 | 2006-08-29 |
| 1548779739 | Costco Wholesale Corportation | Hearing Aid Equipment | 1620 Pine Lake Road, Lincoln, NE 68512 | 2017-09-20 |
| Find all providers in zip 68512 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568929263 | Pemberly Place Management, LLC | Assisted Living Facility | 7655 Archer Pl, Lincoln, NE 68516-5286 | 2019-02-28 |
| 1922571462 | Lincoln Countryhouse II LLC | Assisted Living Facility | 6616 S 84th Street, Lincoln, NE 68516 | 2019-01-08 |
| 1255802468 | Fallbrook Assisted Living, LLC | Assisted Living Facility | 6600 Juliet Court, Lincoln, NE 68521 | 2018-12-16 |
| 1114267739 | David Kniola Crnp LLC | Assisted Living Facility | 825 Woods Ferry Rd, Lincoln, AL 35096-5874 | 2013-02-19 |
| 1053695965 | Legacy Terrace II, Lp | Assisted Living Facility | 3777 N 58th St, Lincoln, NE 68507-1658 | 2011-10-11 |
| 1154601078 | Haven Manor Assisted Living Plus | Assisted Living Facility | 4800 S 48th St, College View North, Lincoln, NE 68516-1216 | 2011-08-23 |
| 1659663870 | Tabitha Inc | Assisted Living Facility | 4620 Randolph St, Lincoln, NE 68510-3739 | 2011-05-05 |
| 1275830937 | Lincoln Bickford Cottage | Assisted Living Facility | 4451 Old Cheney Rd, Lincoln, NE 68516-2821 | 2011-02-16 |
| 1124323126 | Havelock Manor. | Assisted Living Facility | 6330 Platte Ave, Lincoln, NE 68507-1349 | 2011-01-21 |
| 1548565948 | Orchard Park,inc. | Assisted Living Facility | 3110 S 48th St, Lincoln, NE 68506-3353 | 2011-01-14 |
| Find all providers in LINCOLN | ||||
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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.