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

Grand Island Countryhouse LLC

Organization Alzheimer Center (Dementia Center) · NPI 1265723829

Grand Island Countryhouse LLC is an Alzheimer Center (Dementia Center) in Grand Island, Nebraska. Licensed in Nebraska. Registered with an NPI since 2011.

Licensed in
NE
In the registry since
2011
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

833 N Alpha St
Grand Island, NE 68803-4321
Phone: (308) 381-1988
Fax: (308) 381-4005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Alzheimer Center (Dementia Center) (primary) Taxonomy 311500000X · Licence ALF300 (NE)

Record details

NPI number1265723829
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAgemark Corporation
Authorized official Stacy Glock — Executive Director · (308) 381-1988
NPI enumeratedApril 29, 2011
Last updated in NPPESApril 29, 2011
Mailing address833 N Alpha St, Grand Island, NE 68803-4321

Other providers in Grand Island