MEDICARE: CLERMONT HEALTH CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518371905
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLERMONT HEALTH CARE

Provider Business Mailing Address
First Line	:	25000 COUNTRY CLUB BLVD STE 255
Second Line	:
City	:	NORTH OLMSTED
State	:	OH
Zip	:	44070-5337
Country	:	US
Telephone Number	:	440-793-2245
Fax Number	:

Provider Business Practice Location Address
First Line	:	409 WARDS CORNER RD
Second Line	:
City	:	LOVELAND
State	:	OH
Zip	:	45140
Country	:	US
Telephone Number	:	513-630-1140
Fax Number	:	513-630-1150

Authorized Official
Title or Position	:	CORPORATE SECRETARY
Name	:	SANDY MUIR
Credential	:
Telephone Number	:	440-793-2245

Provider Enumeration Date	:	06/13/2014
Last Update Date	:	06/01/2026

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Directions to “CLERMONT HEALTH CARE ” Practice Location

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