Country Club Retirement Center Ii

LBN: Mount Vernon Elderly Services Llc
Country Club Retirement Center Ii is an health care organization with primary practice located at 1350 Yauger Rd , Mount Vernon OH 43050-9233. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Mount Vernon Elderly Services Llc can be contacted via phone (740) 397-2350, or through Head, Tracy via phone (740) 397-2350.

Contact Information

Primary practice address
1350 Yauger Rd Mount Vernon OH 43050-9233
Phone: (740) 397-2350
Fax: (740) 393-0546
Website:
Map and Directions
Authorized official contact:
Name: Head, Tracy LNHA
Phone: (740) 397-2350

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2866 Ohio

Profile Details

NPI number 1598831869
LBN Legal business name Mount Vernon Elderly Services Llc
DBA Doing business as Country Club Retirement Center Ii
Authorized official Head, Tracy LNHA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Apr 12th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598831869 NPPES
Ohio MEDICAID 0396218

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