Country Club Retirement Center Iv, Inc in Bellaire - Skilled Nursing Facility
Country Club Retirement Center Iv, Inc - NPI 1881747673
Country Club Retirement Center Iv, Inc is a Skilled Nursing Facility in Bellaire, Ohio. Country Club Retirement Center Iv, Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Country Club Retirement Center Iv, Inc is 1881747673. The last update date is 2012-04-16.
Country Club Retirement Center Iv, Inc's current location address is 55801 Conno Mara Dr, Bellaire, Ohio. You can contact this provider via phone number 8005169389 and fax number 7406761277. The mailing address for Country Club Retirement Center Iv, Inc is 55801 Conno Mara Dr, Bellaire, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Country Club Retirement Center Iv, Inc |
|---|---|
| Address | 55801 Conno Mara Dr, Bellaire, Ohio |
| Phone Number | 8005169389 |
| Fax Number | 7406761277 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Harris Janet |
| Credentials | CPA |
| Telephone Number | 3302394474 |
NPI Number Detail
| NPI Number | 1881747673 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2012-04-16 |
Provider Mailing Address Detail
| Address | 55801 Conno Mara Dr |
|---|---|
| City | Bellaire |
| State | Ohio (OH) |
| Post Code | 439069698 |
| Phone Number | 8005169389 |
| Fax Number | 7406761277 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 3761 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 640051 | OH | -- | |
| 335475 | OH | ANTHEM |
Post Comment/ Review Below
What is the unique identifier code issued to Country Club Retirement Center Iv, Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Country Club Retirement Center Iv, Inc has been assigned the NPI (National Provider Identifier) 1881747673. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Country Club Retirement Center Iv, Inc's facilities are geographically located?
The facilities of Country Club Retirement Center Iv, Inc are physically situated at the following location: 55801 Conno Mara Dr, Bellaire, OH, 439069698.
What is the area of specialization for Country Club Retirement Center Iv, Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Country Club Retirement Center Iv, Inc is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1881747673 to Country Club Retirement Center Iv, Inc?
The Country Club Retirement Center Iv, Inc received its 1881747673 assignment from the Centers for Medicare & Medicaid Services on 2007-01-18.
As of what date was the information pertaining to Country Club Retirement Center Iv, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Country Club Retirement Center Iv, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-04-16.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY