Dickinson Countryhouse LLC
Alzheimer Center (Dementia Center) in Dickinson, ND. Organization (NPI-2).
NPI number1548050461
StatusActive
Last updated in NPPESMay 23, 2025
Details
- NPI
- 1548050461
- Entity type
- Organization (NPI-2)
- Legal business name
- Dickinson Countryhouse LLC
- Organization subpart
- No
- Enumeration date
- May 12, 2025
- Certification date
- May 23, 2025
- Last updated
- May 23, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 311500000X | Alzheimer Center (Dementia Center) | – | – | Yes |
| 253Z00000X | In Home Supportive Care | – | – |
Other names
- Dickinson Countryhouse LLC (Doing Business As)
Practice location
628 24th St WDickinson, ND 58601-2731
Phone 701-847-0842
Mailing address
17110 Marcy St Ste Ll01Omaha, NE 68118-3119
Phone 531-800-3364 · Fax 531-800-3364
Authorized official
Stacy Randels
Vp Asset Management
5318003364
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