Kearney Countryhouse, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KEARNEY COUNTRYHOUSE, LLC

Doing business as

CountryHouse Kearney

Practice address

5605 K Ave
Kearney, NE 68847-8512

Phone

(308) 455-8000

NPI assigned

Aug 24, 2023

Last updated

Aug 24, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

AGEMARK MANAGEMENT. LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brandie Hesson-Bullard

Title

Exective Director

Phone

(308) 455-8000

Specialties & licenses 1

Addresses

Other names 1

• CountryHouse Kearney Doing business as

Part of

Agemark Management LLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1780468165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 K AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478512",
            "telephone_number": "308-455-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 K AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478512",
            "telephone_number": "308-455-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNEY COUNTRYHOUSE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AGEMARK MANAGEMENT. LLC",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "HESSON-BULLARD",
        "authorized_official_first_name": "BRANDIE",
        "authorized_official_title_or_position": "EXECTIVE DIRECTOR",
        "authorized_official_telephone_number": "308-455-8000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CountryHouse Kearney",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Kearney, NE
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• Assisted Living Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.