Als Millersburg Greenridge, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ALS MILLERSBURG GREENRIDGE, INC

Doing business as

ALS Millersburg Greenridge, Inc

Practice address

1405 Wooster Rd
Millersburg, OH 44654-7920

Phone

(330) 674-1026

Fax

(201) 661-2846

NPI assigned

Jun 28, 2023

Last updated

Jun 28, 2023By 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. Bryan L Casey

Title

President

Phone

(740) 350-9095

Specialties & licenses 1

Addresses

Other names 1

• ALS Millersburg Greenridge, Inc Doing business as

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1053098459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PUTNAM ST STE 110",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502952",
            "telephone_number": "740-415-1138",
            "fax_number": "201-661-2846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 WOOSTER RD",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446547920",
            "telephone_number": "330-674-1026",
            "fax_number": "201-661-2846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALS MILLERSBURG GREENRIDGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-350-9095",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALS Millersburg Greenridge, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Millersburg, OH
• Providers in Millersburg, OH by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.