Country Club Center Homes, Inc in Dover - Skilled Nursing Facility

Country Club Center Homes, Inc - NPI 1821178427

Country Club Center Homes, Inc is a Skilled Nursing Facility in Dover, Ohio. Country Club Center Homes, Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Country Club Center Homes, Inc is 1821178427. The last update date is 2020-08-22.

Country Club Center Homes, Inc's current location address is 860 E Iron Ave, Dover, Ohio. You can contact this provider via phone number 3303435568 and fax number 3303430514. The mailing address for Country Club Center Homes, Inc is 860 E Iron Ave, Dover, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization Country Club Center Homes, Inc
Address 860 E Iron Ave, Dover, Ohio
Phone Number 3303435568
Fax Number 3303430514
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Hohman M Michael
Telephone Number 3303435568

NPI Number Detail

NPI Number 1821178427
Provider Enumeration Date 2006-10-17
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 860 E Iron Ave
City Dover
State Ohio (OH)
Post Code 446222031
Phone Number 3303435568
Fax Number 3303430514

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 2499
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
400828 OH --

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FAQs about Country Club Center Homes, Inc

What is the unique 10-digit identifier code assigned to Country Club Center Homes, Inc by the Centers for Medicare & Medicaid Services?

The Country Club Center Homes, Inc has been issued the NPI (National Provider Identifier) 1821178427 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Country Club Center Homes, Inc is geographically located?

The Country Club Center Homes, Inc is physically situated at the following location: 860 E Iron Ave, Dover, OH, 446222031.

What is Country Club Center Homes, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Country Club Center Homes, Inc is Skilled Nursing Facility, and the taxonomy classification code that categorizes this area of expertise is 314000000X.

When did Country Club Center Homes, Inc receive its 1821178427 assignment?

The Country Club Center Homes, Inc was assigned its 1821178427 on 2006-10-17, which is the date when this unique identifier was issued to the organization.

When was the information regarding Country Club Center Homes, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Country Club Center Homes, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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