Hickory Health Care, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0525N Issued in OH

Legal business name

HICKORY HEALTH CARE, INC.

Practice address

721 Hickory St
Akron, OH 44303-2213

Phone

(330) 762-6486

Fax

(330) 762-1230

NPI assigned

Jun 8, 2005

Organization subpart

No

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

Authorized official

Name

Daniel Parker

Title

President

Phone

(330) 554-6619

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hickory Ridge Nursing & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1508860495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25000 COUNTRY CLUB BLVD STE 255",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440705337",
            "telephone_number": "440-614-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 HICKORY ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443032213",
            "telephone_number": "330-762-6486",
            "fax_number": "330-762-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-08",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-554-6619"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "0525N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2551457",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hickory Ridge Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hickory Ridge Nursing & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Marie Hetman, APRN
• Thomas Jon Hetrick, MD
• Stephen M Heupler, MD FACC
• Rebecca Ellen Heyne, RN, CPNP
• Danielle Hicar, CNP
• Adrian Hicks
• Jodi Hicks
• Mechelle Lynn Hicks, OCPSA.161626
• Shantelena Marie Hicks
• Tia Hicks

• Skilled Nursing Facility in Akron, OH
• Providers in Akron, 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 Nov 5, 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.