NPIMap

Organization Active NPI

Mellon Ridge, Inc.

Doing business as Highland Hills

  • Adult Care Home Facility
  • Hillsboro, OH
National Provider Identifier
1568675080
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
MELLON RIDGE, INC.
Doing business as
Highland Hills
Practice address
141 Willetsville Pike
Hillsboro, OH 45133-9476
Phone
(440) 614-0160
Fax
(440) 614-0168
NPI assigned
May 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brian Colleran
Title
President
Phone
(440) 614-0160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

141 Willetsville Pike
Hillsboro, OH 45133-9476

Mailing address

22021 Brookpark Rd
Ste 123
Fairview Park, OH 44126-3100
Phone (440) 614-0160

Other names 1

  • Highland Hills Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mellon Ridge Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568675080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22021 BROOKPARK RD",
            "address_2": "STE 123",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263100",
            "telephone_number": "440-614-0160",
            "fax_number": "440-614-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 WILLETSVILLE PIKE",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451339476",
            "telephone_number": "440-614-0160",
            "fax_number": "440-614-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELLON RIDGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLERAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-614-0160"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.