Active NPI
Ridge for Life
- Substance Abuse Rehabilitation Facility
- Batavia, OH
National Provider Identifier
1033882469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- RIDGE FOR LIFE
- Doing business as
- Ridgefor Life
- Practice address
- 4562 St. RT. 222
Batavia, OH 45103-4510 - Phone
- (513) 753-9964
- NPI assigned
- Jul 30, 2021
- Last updated
- Jul 30, 2021
- Organization subpart
- Yes
- Parent organization
- RIDGE HVP LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacy Klousiadis
- Title
- Coo
- Phone
- (513) 753-9964
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
4562 St. RT. 222
Batavia, OH 45103-4510
Mailing address
25 Whitney Dr Ste 120
Milford, OH 45150-8400
Phone (513) 753-9964
Other names 1
- Ridgefor Life
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | theridgeohio.com | Direct |
National Provider Directory
National Provider Directory- Part of
- Ridge HVP LLC
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Addiction (Substance Use Disorder) Counselor
- Milford, OH
- NPI 1407200124
-
- Licensed Practical Nurse
- Batavia, OH
- NPI 1194471086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627603200000",
"number": "1033882469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 WHITNEY DR STE 120",
"city": "MILFORD",
"state": "OH",
"postal_code": "451508400",
"telephone_number": "513-753-9964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4562 ST. RT. 222",
"city": "BATAVIA",
"state": "OH",
"postal_code": "451034510",
"telephone_number": "513-753-9964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIDGE FOR LIFE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RIDGE HVP LLC",
"enumeration_date": "2021-07-30",
"last_updated": "2021-07-30",
"certification_date": "2021-06-23",
"status": "A",
"authorized_official_last_name": "KLOUSIADIS",
"authorized_official_first_name": "STACY",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "513-753-9964"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "theridgeohio.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "25 Whitney Drive Suite 120",
"city": "Milford",
"state": "OH",
"country_code": "US",
"postal_code": "45150",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Ridgefor Life",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Batavia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.