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

Omaha Countryhouse LLC

Organization Alzheimer Center (Dementia Center) · NPI 1093116998

Omaha Countryhouse LLC is an Alzheimer Center (Dementia Center) in Omaha, Nebraska. Licensed in Nebraska. Registered with an NPI since 2014.

Licensed in
NE
In the registry since
2014
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

5030 S 155th St
Omaha, NE 68137-5002
Phone: (402) 964-2060
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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 · Licence 2988 (NE)

Record details

NPI number1093116998
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Randels — Vp · (531) 800-3364
Other names Omaha Countryhouse Llc; Omaha Countryhouse Llc
NPI enumeratedSeptember 10, 2014
Last updated in NPPESMay 22, 2025
Certification dateMay 20, 2025
Mailing address5030 S 155th St, Omaha, NE 68137-5002

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