Omaha Countryhouse LLC
NPI 1093116998 · Alzheimer Center (Dementia Center) · Omaha, NE
Omaha Countryhouse LLC is a Alzheimer Center (Dementia Center) organization in Omaha, NE (NPI 1093116998).
Provider details
- NPI number
- 1093116998
- Entity type
- Organization
- Primary specialty
- Alzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Stacy Randels, Vp(531) 800-3364
- License
- 2988 (NE)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Omaha Countryhouse LLC
- Doing business as
- Omaha Countryhouse LLC
Registry dates
- Enumerated
- 2014-09-10
- Last updated
- 2025-05-22
- Certified
- 2025-05-20
Frequently asked questions
- What is Omaha Countryhouse LLC's NPI number?
- Omaha Countryhouse LLC's National Provider Identifier (NPI) is 1093116998, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Omaha Countryhouse LLC?
- Omaha Countryhouse LLC is classified in the NPPES registry as Alzheimer Center (Dementia Center) (Nursing & Custodial Care Facilities).
- Where is Omaha Countryhouse LLC located?
- Omaha Countryhouse LLC's practice location on file with NPPES is 5030 S 155th St, Omaha, NE 68137-5002.
- What is Omaha Countryhouse LLC's phone number?
- The practice phone number listed in the NPPES registry for Omaha Countryhouse LLC is (402) 964-2060.
- Who is the authorized official for Omaha Countryhouse LLC?
- The authorized official listed on Omaha Countryhouse LLC's NPPES record is Stacy Randels, Vp. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Omaha Countryhouse LLC's NPI active?
- Yes — Omaha Countryhouse LLC's NPI (1093116998) is active in the NPPES registry as of the last update on 2025-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.