Rickie E Crouch Sr.

Primary specialty

Chore ProviderTaxonomy code 372500000X

Practice address

501 Scott St
Crestline, OH 44827-1548

Phone

(614) 402-1270

NPI assigned

Aug 9, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crouch Enterprises, LLC

  • Preferred Provider Organization
  • Crestline, OH
  • NPI 1023869450
  NPD Authorized official

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1184352122",
    "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": {
        "last_name": "CROUCH",
        "first_name": "RICKIE",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crestline Evsd
• Crestline Facilty Operations, LLC (Crestline Nursing Home)
• Crestline Medical Center, Inc
• Crestline Nursing Center LLC (Crestline Rehabilitation and Nursing Center)
• Crouch Enterprises, LLC
• Raymond Michael Dubois, PTA
• Angela Kaye Eidson, LPN-IP
• Velmon D Franklin III
• Marilyn Ann Fried, PTA
• Galion Community Hospital (Avita Crestline Pharmacy)

• Chore Provider in Crestline, OH
• Providers in Crestline, OH by specialty
• Chore Provider in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.