Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Country Club Retirement Center IV, Inc

Organization Assisted Living Facility · NPI 1881747673

Country Club Retirement Center IV, Inc is an Assisted Living Facility in Bellaire, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

55801 Conno Mara Dr
Bellaire, OH 43906-9698
Phone: (800) 516-9389
Fax: (740) 676-1277
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 3761 (OH)
Assisted Living Facility Taxonomy 310400000X · Licence 1858R (OH)

Record details

NPI number1881747673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Janet Harris — Ceo · (330) 239-4474
NPI enumeratedJanuary 18, 2007
Last updated in NPPESApril 16, 2012
Mailing addressPo Box 345, Sharon Center, OH 44274-0345

Other providers in Bellaire