Arbor Care Centers - Countryside LLC

Key facts

NPI: 1811501596
Entity type: Organization (NPI type 2)
Primary specialty: Skilled Nursing Facility 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
Organization subpart: No

Authorized official

Name: Kenneth W Klaasmeyer
Title: President
Phone: (402) 525-1251

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

CMS ownership 5% OR GREATER DIRECT OWNERSHIP INTEREST · ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL
Alan J Spanel, MD Internal Medicine Physician · Norfolk, NE · NPI 1023508892

CMS ownership ADP OF THE SNF · OPERATIONAL/MANAGERIAL CONTROL

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Care Compare affiliation Nursing home

Medicare Care Compare: Nursing home

Listed as: Arbor Care Centers-Countryside LLC CCN 285207
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: Active (Provider of Services file)
Certified beds: 70 · 35.5 residents per day on average
Penalties (3 years): 2 · fines totaling $26,750

Source: Medicare Care Compare, processed Aug 1, 2026.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
28D0923629	Arbor Care Centers - Countryside LLC 703 North Main Street, Madison, NE 68748	Certificate of waiver	Jan 6, 2027

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NE

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: LLC · Proprietary
Enrollment address: 703 N Main St
Madison, NE 68748-6009
Nursing home name: ARBOR CARE CENTERS-COUNTRYSIDE LLC

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.

Name	Role	Since	Share
Arbor Care Centers LLC Organization · Valley, NE Management services company	Operational/Managerial Control	Oct 1, 2020
	Adp of the SNF	Apr 23, 2025
Trishtian Lynn McNeill Individual	Operational/Managerial Control	Nov 6, 2024
Trishtian Lynn McNeill Individual	Adp of the SNF	Nov 6, 2024
Linda R Klaasmeyer Individual	5% Or Greater Direct Ownership Interest	Oct 1, 2020	25%
	Operational/Managerial Control	Oct 1, 2020
	Adp of the SNF	Oct 1, 2020
Jessica Monico Klaasmeyer Individual	5% Or Greater Direct Ownership Interest	May 1, 2023	25%
	Operational/Managerial Control	May 1, 2023
	Adp of the SNF	May 1, 2023
Alan J Spanel Individual	Operational/Managerial Control	Oct 1, 2020
Alan J Spanel Individual	Adp of the SNF	Oct 1, 2020
Aaron Klaasmeyer Individual	5% Or Greater Direct Ownership Interest Vice President of Operations	Oct 1, 2020	25%
	Operational/Managerial Control	Oct 1, 2020
	Adp of the SNF	Oct 1, 2020
Kenneth W Klaasmeyer Individual	5% Or Greater Direct Ownership Interest President	Oct 1, 2020	25%
	Operational/Managerial Control	Oct 1, 2020
	Adp of the SNF	Oct 1, 2020
Everett L McWhorter Individual	Operational/Managerial Control	Oct 1, 2020
Everett L McWhorter Individual	Adp of the SNF	Oct 1, 2020

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20200929000850	NE	Part a Provider - Skilled Nursing Facility	7416376231	Practice locations: Madison, NE

National Provider Directory

Locations

703 N Main St
Madison, NE 68748
Phone (402) 454-3373

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Assisted Living Facility	310400000X
Skilled Nursing Facility	314000000X			Yes

Addresses

Primary practice location

703 N Main St
Madison, NE 68748-6009

Mailing address

703 N Main St
Madison, NE 68748-6009
Phone (402) 454-3373

Other providers in Madison, NE

All providers in Madison, NE · Skilled Nursing Facility in Nebraska

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (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.