Locust Ridge Nursing Home Inc

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

0771N Issued in OH

Legal business name

LOCUST RIDGE NURSING HOME INC

Practice address

12745 Elm Corner Rd
Williamsburg, OH 45176-9621

Phone

(937) 444-2920

Fax

(937) 444-1009

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Patricia A Meeker

Title

Board of Director

Phone

(513) 797-5144

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1154419869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12745 ELM CORNER RD",
            "city": "WILLIAMSBURG",
            "state": "OH",
            "postal_code": "451769621",
            "telephone_number": "937-444-2920",
            "fax_number": "937-444-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12745 ELM CORNER RD",
            "city": "WILLIAMSBURG",
            "state": "OH",
            "postal_code": "451769621",
            "telephone_number": "937-444-2920",
            "fax_number": "937-444-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOCUST RIDGE NURSING HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MEEKER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BOARD OF DIRECTOR",
        "authorized_official_telephone_number": "513-797-5144"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "OH",
            "license": "0771N",
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "0771N",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "0771N",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071952",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Constance Nadine Kidd
• Joseph Edward King, D.C.
• Landmark Residential Services
• Lives in Harmony LLC
• Locust Ridge Healthcare LLC
• Brenda Luke
• Sugar Lynch
• Alexia Mansour
• Jennifer McCalla
• James Elwood McGlothin, CDCA

• All providers in Williamsburg, OH
• Alzheimer Center (Dementia Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.