CC
COUNTRY CLUB RETIREMENT CENTER LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
ASHTABULA, OH
Licensed since
2007
Rate
—
Federal compliance record
Total fines$0
Payment denials / penalties0
Abuse flagNone on record
Federal identifiers
NPI registry number1144372137
CMS Certification Number (CCN)365642
Agency details
Avg residents / day71.2
OwnershipFor profit - Corporation
Chain affiliationCOUNTRY CLUB REHABILITATION CAMPUS
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameJANET HARRIS
TitleCEO
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