Organization Active NPI

Ridgewood Healthcare Center, LLC

  • Skilled Nursing Facility
  • Fairlawn, OH
National Provider Identifier
1457332249
Registry record updated Jan 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Jan 12, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2304910MedicaidOH

Other names 1

  • Ridgewood Healthcare Center Other name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.