Countryhouse Council Bluffs LLC
NPI 1104711621 · Assisted Living Facility · Council Bluffs, IA
Countryhouse Council Bluffs LLC is a Assisted Living Facility organization in Council Bluffs, IA (NPI 1104711621).
Provider details
- NPI number
- 1104711621
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Stacy Randels, Vp Asset Management(531) 800-3364
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
1 yr 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
Registry dates
- Enumerated
- 2025-06-12
- Last updated
- 2025-06-12
- Certified
- 2025-06-12
Frequently asked questions
- What is Countryhouse Council Bluffs LLC's NPI number?
- Countryhouse Council Bluffs LLC's National Provider Identifier (NPI) is 1104711621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Countryhouse Council Bluffs LLC?
- Countryhouse Council Bluffs LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Countryhouse Council Bluffs LLC located?
- Countryhouse Council Bluffs LLC's practice location on file with NPPES is 1831 E Kanesville Blvd, Council Bluffs, IA 51503-4767.
- What is Countryhouse Council Bluffs LLC's phone number?
- The practice phone number listed in the NPPES registry for Countryhouse Council Bluffs LLC is (712) 322-4100.
- Who is the authorized official for Countryhouse Council Bluffs LLC?
- The authorized official listed on Countryhouse Council Bluffs LLC's NPPES record is Stacy Randels, Vp Asset Management. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Countryhouse Council Bluffs LLC's NPI active?
- Yes — Countryhouse Council Bluffs LLC's NPI (1104711621) is active in the NPPES registry as of the last update on 2025-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.