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

Country Club Retirement Center V LLC

Organization Skilled Nursing Facility · NPI 1881021830

Country Club Retirement Center V LLC is a Skilled Nursing Facility in Delaware, Ohio. Licensed in Ohio. Registered with an NPI since 2013.

Licensed in
OH
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

478 S Sandusky St
Delaware, OH 43015-2623
Phone: (740) 369-8741
Fax: (740) 363-8359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 1413N (OH)

Record details

NPI number1881021830
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hayley Williams — Attorney · (216) 706-3936
NPI enumeratedOctober 7, 2013
Last updated in NPPESOctober 7, 2013
Mailing addressPo Box 427, Sharon Center, OH 44274-0427

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