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Countryhouse Council Bluffs LLC

Assisted Living Facility in Council Bluffs, IA · enumerated 2025 · authorized official Stacy Randels, Vp Asset Management.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104711621

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Registry record

Entity type Organization (Type 2)
Legal business name Countryhouse Council Bluffs LLC
Practice address 1831 E Kanesville Blvd, Council Bluffs, IA, 51503
Phone (712) 322-4100
Enumeration date Jun 12, 2025
Last updated in NPPES Jun 12, 2025

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Stacy Randels
Title Vp Asset Management
Phone (531) 800-3364

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Countryhouse Council Bluffs LLC?
NPPES lists Stacy Randels (Vp Asset Management) as the authorized official for this organization.
What is the NPI number for Countryhouse Council Bluffs LLC?
The NPI for Countryhouse Council Bluffs LLC is 1104711621, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-06-12.