Organization Active NPI

Earley & Ross of Fayette County LL,LLC

  • Skilled Nursing Facility
  • Washington Court House, OH
National Provider Identifier
1376731075
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
EARLEY & ROSS OF FAYETTE COUNTY LL,LLC
Practice address
6674 Stafford Rd SW
Washington Court House, OH 43160-9770
Phone
(740) 335-5794
Fax
(740) 335-8183
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Mr. Tim Ross
Title
Administrator
Phone
(740) 335-5794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6674 Stafford Rd SW
Washington Court House, OH 43160-9770

Mailing address

6674 Stafford Rd SW
Washington Court House, OH 43160-9770
Phone (740) 335-5794

Other names 1

  • hillcrest manor Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1376731075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6674 STAFFORD RD SW",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431609770",
            "telephone_number": "740-335-5794",
            "fax_number": "740-335-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6674 STAFFORD RD SW",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431609770",
            "telephone_number": "740-335-5794",
            "fax_number": "740-335-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLEY & ROSS OF FAYETTE COUNTY LL,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "740-335-5794",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hillcrest manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington Court House, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.