Arbor Care Centers - Countryside LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ARBOR CARE CENTERS - COUNTRYSIDE LLC

Practice address

703 N Main St
Madison, NE 68748-6009

Phone

(402) 454-3373

Fax

(402) 454-6509

NPI assigned

Sep 1, 2020

Last updated

Oct 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth W Klaasmeyer

Title

President

Phone

(402) 525-1251

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811501596. Details of each certification follow.

• CCN 285207 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 285207

Legal name

ARBOR CARE CENTERS - COUNTRYSIDE LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 1997

Last certification

Dec 5, 2024

Beds

70

Ownership / control type

City

Multi-facility organization

Arbor Care Centers

Organization structure

LLCProprietary

Enrollment address

703 N Main St
Madison, NE 68748-6009

Nursing home name

ARBOR CARE CENTERS-COUNTRYSIDE LLC

Listed as

Arbor Care Centers-Countryside LLCCCN 285207 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

1 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

Government - City

Certified

Apr 1, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7035.5 residents per day on average

Penalties (3 years)

2Fines totaling $26,750

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Jessica Monico Klaasmeyer, APRN

  • Nurse Practitioner
  • Elkhorn, NE
  • NPI 1801566641

  5% Or Greater Direct Ownership Interest, Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Alan J Spanel, MD

  • Internal Medicine Physician
  • Norfolk, NE
  • NPI 1023508892

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alan J Spanel, MD

  • Internal Medicine Physician
  • Norfolk, NE
  • NPI 1023508892
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Alan J Spanel, MD

  • Internal Medicine Physician
  • Norfolk, NE
  • NPI 1023508892

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1811501596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 N MAIN ST",
            "city": "MADISON",
            "state": "NE",
            "postal_code": "687486009",
            "telephone_number": "402-454-3373",
            "fax_number": "402-454-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N MAIN ST",
            "city": "MADISON",
            "state": "NE",
            "postal_code": "687486009",
            "telephone_number": "402-454-3373",
            "fax_number": "402-454-6509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR CARE CENTERS - COUNTRYSIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "KLAASMEYER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-525-1251"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Alvarado
• Alejandro Avila
• Francisca Ayala
• Javier Barrientos
• Yinaidis Batista
• Leann Kay Borgmeyer

• Skilled Nursing Facility in Madison, NE
• Providers in Madison, NE by specialty
• Skilled Nursing Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.