Cridersville Healthcare Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5932 Issued in OH

Legal business name

CRIDERSVILLE HEALTHCARE CENTER

Practice address

603 E Main St
Cridersville, OH 45806-2454

Phone

(419) 645-4468

NPI assigned

Jan 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Eric Wayne Ireland, LNHA

Title

Administrator

Phone

(419) 645-4468

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Healthcare Ventures of Ohio Other name

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265410823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E MAIN ST",
            "city": "CRIDERSVILLE",
            "state": "OH",
            "postal_code": "458062454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E MAIN ST",
            "city": "CRIDERSVILLE",
            "state": "OH",
            "postal_code": "458062454",
            "telephone_number": "419-645-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRIDERSVILLE HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IRELAND",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "419-645-4468",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2561393",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthcare Ventures of Ohio",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aspire Home Health Care Services LLC
• Lindsey M Atkins
• Walter Lawrence Bish Jr., PARAMEDIC
• Cridersville Nursing Home Operating Company, LLC
• Cridersville SNF Opco LLC
• Cridersville Volunteer Fire Department
• Equestrian Therapy Program
• Jessica M Eyanson, LMT

• Skilled Nursing Facility in Cridersville, OH
• Providers in Cridersville, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.