COUNTRY CLUB RETIREMENT CENTER IV, INC
NPI 1881747673
Skilled Nursing Facility in Bellaire, OH

Active since January 18, 2007
55801 CONNO MARA DR, BELLAIRE, OH 43906(800) 516-9389(740) 676-1277 Get Directions Write a Review

NPPES record last updated: April 16, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Country Club Retirement Center Iv, Inc NPPES

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

COUNTRY CLUB RETIREMENT CENTER IV, INC (NPI 1881747673) is a healthcare organization registered as a skilled nursing facility in Bellaire, Ohio and active in the NPI registry since January 2007. The organization lists Janet Harris, Ceo, as its authorized official.

NPPES Registry Identity

NPI1881747673
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameCOUNTRY CLUB RETIREMENT CENTER IV, INC
Location Address55801 CONNO MARA DRBellaire, OH 43906-9698
Mailing AddressPo Box 345Sharon Center, OH 44274-0345 · (330) 239-4474 · Fax (330) 239-4479
Fax(740) 676-1277
Organization SubpartNo
Authorized OfficialJanet HarrisCeo · (330) 239-4474
Enumeration DateJanuary 18, 2007
Last NPPES UpdateApril 16, 2012
NPI 1881747673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in OH · 3761
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.

Also ListedAssisted Living FacilityTaxonomy 310400000X · License 1858R (OH)
55801 CONNO MARA DR, Bellaire, OH 43906

Other Identifiers 3

Medicare ID-Type Unspecified365699OH
Other000000335475OH · Anthem
Medicaid0640051OH

Accepted Insurance

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
55801 CONNO MARA DR
BELLAIRE, OH 43906

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881747673, enumerated as an "organization" on January 18, 2007.

The provider is located at 55801 CONNO MARA DR BELLAIRE, OH 43906 and the phone number is (800) 516-9389.

Skilled Nursing Facility with taxonomy code 314000000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.