Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dickinson Countryhouse LLC

Organization In Home Supportive Care Agency · NPI 1548050461

Dickinson Countryhouse LLC is an In Home Supportive Care Agency in Dickinson, North Dakota. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

628 24th St W
Dickinson, ND 58601-2731
Phone: (701) 847-0842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Alzheimer Center (Dementia Center) (primary) Taxonomy 311500000X
In Home Supportive Care Agency Taxonomy 253Z00000X

Record details

NPI number1548050461
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Randels — Vp Asset Management · (531) 800-3364
Other names Dickinson Countryhouse Llc; Dickinson Countryhouse Llc
NPI enumeratedMay 12, 2025
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025
Mailing address17110 Marcy St Ste Ll01, Omaha, NE 68118-3119

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