Healthcare Provider Details

I. General information

NPI: 1518899582
Provider Name (Legal Business Name): COLERAIN CARE CENTER OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8440 LIVINGSTON RD
CINCINNATI OH
45247-3731
US

IV. Provider business mailing address

5910 LANDERBROOK DR STE 150
MAYFIELD HEIGHTS OH
44124-6506
US

V. Phone/Fax

Practice location:
  • Phone: 216-412-2300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY DEGYANSKY
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 330-620-7828