Crouch Enterprises, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

CROUCH ENTERPRISES, LLC

Practice address

501 Scott St
Crestline, OH 44827-1548

Phone

(614) 402-1270

NPI assigned

Apr 1, 2024

Last updated

Apr 1, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Rickie Edward CrouchNPI 1184352122

Title

Manager

Phone

(614) 402-1270

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rickie E Crouch Sr.

  • Chore Provider
  • Crestline, OH
  • NPI 1184352122
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1023869450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SCOTT ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271548",
            "telephone_number": "614-402-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SCOTT ST",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448271548",
            "telephone_number": "614-402-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROUCH ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "RICKIE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "614-402-1270",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Exxerica Conn
• Crestline Evsd
• Crestline Facilty Operations, LLC (Crestline Nursing Home)
• Crestline Medical Center, Inc
• Crestline Nursing Center LLC (Crestline Rehabilitation and Nursing Center)
• Rickie E Crouch Sr.
• Raymond Michael Dubois, PTA
• Angela Kaye Eidson, LPN-IP
• Velmon D Franklin III
• Marilyn Ann Fried, PTA

• Preferred Provider Organization in Crestline, OH
• Providers in Crestline, OH by specialty
• Preferred Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.