Individual provider Active NPI

Nikole Case

  • Nursing Home Administrator
  • Saint Clairsville, OH
National Provider Identifier
1508621533
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
License
7655 Issued in OH
Practice address
187 W Main St Ste 200
Saint Clairsville, OH 43950-1157
Phone
(740) 699-2300
Fax
(740) 699-2310
NPI assigned
Feb 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN.119501.MEDS-IV OH
Nursing Home Administrator 376G00000X 7655 OH Primary

Addresses

Primary practice location

187 W Main St Ste 200
Saint Clairsville, OH 43950-1157

Mailing address

187 W Main St Ste 200
Saint Clairsville, OH 43950-1157
Phone (740) 699-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPN.119501.MEDS-IVOHMDLicensed Practical Nurse
7655OHMDNursing Home Administrator

Practice roles

OrganizationSpecialtyStatusNew patients
Stonerise Reliable Healthcare LLC CurrentSince Feb 25, 2024 Accepting new patients
Stonerise Reliable Healthcare LLC CurrentSince Feb 25, 2024 Accepting new patients

Locations

187 W Main St
#200
St Clairsvle, OH 43950
Phone (740) 695-4805

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1508621533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 W MAIN ST STE 200",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501157",
            "telephone_number": "740-699-2300",
            "fax_number": "740-699-2310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 W MAIN ST STE 200",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501157",
            "telephone_number": "740-699-2300",
            "fax_number": "740-699-2310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "NIKOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.119501.MEDS-IV",
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "OH",
            "license": "7655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.