institution
Country Club Retirement Center Llc
Skilled Nursing Facility in Ashtabula, Ohio
NPI 1144372137

Country Club Retirement Center Llc is a Skilled Nursing Facility based in Sharon Center, OH. Country Club Retirement Center Llc practices in Ashtabula, OH. The NPI Number for Country Club Retirement Center Llc is 1144372137 and holds a License No. 4561 (Ohio).

The current practice location address for Country Club Retirement Center Llc is 925 E 26Th St, Ashtabula, OH and can be reached out via phone at 440-992-0022 and via fax at 440-992-7423.

Location: 925 E 26Th St, Ashtabula, OH, 44274-0345
institution
Provider Profile Details
NPI Number
1144372137
Provider Name
Country Club Retirement Center Llc
Credential
Provider Entity Type
Organization
Address
925 E 26Th St, Ashtabula, OH, 44274-0345
Phone Number
440-992-0022
Fax Number
440-992-7423
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000157279 01 OH ANTHEM
0571322 05 OH
institution
Provider Business Practice Location Address Details
Address
925 E 26Th St
City
State
Zip
44004-5061
Phone Number
440-992-0022
Fax Number
440-992-7423
person
Provider Business Mailing Address Details
Address
925 E 26Th St
City
State
Zip
44004-5061
Phone Number
440-992-0022
Fax Number
440-992-7423
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
3469 (Ohio)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
License No.
4561 (Ohio)
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 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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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