Active NPI
Ridgewood Healthcare Center, LLC
- Skilled Nursing Facility
- Fairlawn, OH
National Provider Identifier
1457332249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- RIDGEWOOD HEALTHCARE CENTER, LLC
- Practice address
- 3558 Ridgewood Rd
Fairlawn, OH 44333-3122 - Phone
- (330) 666-3776
- Fax
- (330) 665-4920
- NPI assigned
- Nov 8, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Neele E. Stearns
- Title
- Chairman
- Phone
- (847) 720-8720
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
3558 Ridgewood Rd
Fairlawn, OH 44333-3122
Mailing address
6400 Shafer CT
Suite 600
Rosemont, IL 60018-4914
Phone (847) 720-8722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2304910 | Medicaid | OH |
Other names 1
- Ridgewood Healthcare Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200096000000",
"number": "1457332249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 SHAFER CT",
"address_2": "SUITE 600",
"city": "ROSEMONT",
"state": "IL",
"postal_code": "600184914",
"telephone_number": "847-720-8722",
"fax_number": "847-720-8701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3558 RIDGEWOOD RD",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333122",
"telephone_number": "330-666-3776",
"fax_number": "330-665-4920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIDGEWOOD HEALTHCARE CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-08",
"last_updated": "2008-01-12",
"status": "A",
"authorized_official_last_name": "STEARNS",
"authorized_official_first_name": "NEELE",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "CHAIRMAN",
"authorized_official_telephone_number": "847-720-8720",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2304910",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ridgewood Healthcare Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.