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COUNTRY CLUB CENTER HOMES, INC
NPI 1821178427
Skilled Nursing Facility in Dover, OH

Active since October 17, 2006
2/5
Overall Rating
860 E IRON AVE, DOVER, OH 44622(330) 343-5568(330) 343-0514 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Country Club Center Homes, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRY CLUB CENTER HOMES, INC (NPI 1821178427) is a healthcare organization registered as a skilled nursing facility in Dover, Ohio and active in the NPI registry since October 2006. The organization lists Michael M Hohman, Administrator, as its authorized official.

NPPES Registry Identity

NPI1821178427
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOUNTRY CLUB CENTER HOMES, INC
Location Address860 E IRON AVEDover, OH 44622-2031
Mailing Address860 E Iron AveDover, OH 44622-2031 · (330) 343-5568 · Fax (330) 343-0514
Phone(330) 343-5568
Fax(330) 343-0514
Organization SubpartNo
Authorized OfficialMichael M HohmanAdministrator · (330) 343-5568
Enumeration DateOctober 17, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1821178427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in OH · 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 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.
860 E IRON AVE, Dover, OH 44622
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Other Identifiers 1

Medicaid0400828OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare.Insurance ›

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Country Club Center I (CMS certification number 365417), from CMS Care Compare.

Country Club Center I

Nursing home · Dover, OH
2/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number365417
Certified Beds72 beds57 residents per day on average
Medicare & Medicaid Participant SinceMay 1, 1979
Resident & Family CouncilResident council
Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
144
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.93 · LPN 0.77 · RN 0.49
3.19 hrs per resident per day
Weekend Nurse Staffing
2.75 hrs per resident per day
Physical Therapist Staffing
0.08 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
46.8%
Registered Nurse Turnover
77.8%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
28
Infection-Control Citations
0
Fines
4 totaling $153,031.36
Medicare Payment Denials
0
Total Penalties
4
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANCTUARY SKILLED HOME HEALTH CARE DOVER LLC
Home Health
860 E IRON AVE
DOVER, OH 44622
Tuscarawas County (330) 239-3597
COUNTRY CLUB CENTER HOMES, INC
Assisted Living Facility
860 E IRON AVE
DOVER, OH 44622
Tuscarawas County (330) 343-5568
SANCTUARY SKILLED HOME HEALTH CARE, LLC
Home Health
860 E IRON AVE
DOVER, OH 44622
Tuscarawas County (330) 364-9698

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Country Club Center Homes, Inc's NPI number?

The NPI number for Country Club Center Homes, Inc is 1821178427. It was assigned to this organization in the NPPES registry on October 17, 2006.

Where is Country Club Center Homes, Inc located?

Country Club Center Homes, Inc is located at 860 E Iron Ave, Dover, OH 44622. The listed phone number is (330) 343-5568.

What is Country Club Center Homes, Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Is Country Club Center Homes, Inc a Medicare-certified nursing home?

Yes. Country Club Center I is a Medicare-certified nursing home with 72 certified beds.

What quality rating does Country Club Center Homes, Inc have?

CMS rates Country Club Center I 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Country Club Center Homes, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Molina Healthcare list Country Club Center Homes, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Country Club Center Homes, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.