Healthcare Provider Details

I. General information

NPI: 1275919995
Provider Name (Legal Business Name): CONTINENT HEALTH COMPANY OF CORTLAND, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2015
Last Update Date: 08/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4250 SODOM HUTCHINGS RD
CORTLAND OH
44410-9790
US

IV. Provider business mailing address

4711 GOLF RD SUITE 200
SKOKIE IL
60076-1224
US

V. Phone/Fax

Practice location:
  • Phone: 330-770-7771
  • Fax:
Mailing address:
  • Phone: 847-933-9280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ALEXANDER SHERMAN
Title or Position: MEMBER/MANAGER
Credential:
Phone: 718-207-1714