Organization · Type 2 NPI

Country Club Retirement Center LLC

Skilled Nursing Facility · Ashtabula, OH

NPI number 1144372137 Active

Practice location

925 E 26th St
Ashtabula, OH 44004-5061

Call (440) 992-0022 Map

Fax (440) 992-7423

Mailing address

PO Box 345
Sharon Center, OH 44274-0345

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility 310400000X4561 (OH)
Skilled Nursing Facility Primary 314000000X3469 (OH)

Skilled Nursing Facility: (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 services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1144372137

Country Club Retirement Center LLC's National Provider Identifier is 1144372137, issued on Jan 18, 2007. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Ashtabula, OH. The record was last updated on Apr 12, 2013.