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LINCOLN COUNTRYHOUSE III LLC NPI 1477077808


NPI Information

NPI: 1477077808
Provider Name: LINCOLN COUNTRYHOUSE III, LLC

Doing Business As: COUNTRYHOUSE RESIDENCE

Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 28D2115124

Address:
240 S 70TH ST
LINCOLN, NE
ZIP 68510
Phone: (402) 421-2200
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LINCOLN COUNTRYHOUSE III, LLC is a nursing care in Lincoln, NE. The provider is 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. LINCOLN COUNTRYHOUSE III, LLC NPI is 1477077808. The provider is registered as an organization entity type.
The provider Is Doing Business As Countryhouse Residence.

The provider's business location address is:

240 S 70TH ST
LINCOLN, NE
ZIP 68510-406
Phone: (402) 421-2200
Fax: (531) 289-1494

The provider's authorized official is Suzy Jessica Nootz .
The authorized official title is Executive Director and has the following contact phone number (402) 421-2200.

The CLIA number assigned to this NPI record is 28D2115124 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2017 and was last updated on 7/27/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251J00000XNursing CareALF369NEBRASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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