NPIMap

Organization Active NPI

Flint Ridge Village LLC

  • In Home Supportive Care Agency
  • Newark, OH
National Provider Identifier
1700027570
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
253Z00000X Issued in OH
Legal business name
FLINT RIDGE VILLAGE LLC
Practice address
65 McMillen Dr
Newark, OH 43055-3648
Phone
(740) 344-0388
Fax
(740) 344-0345
NPI assigned
Mar 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Mr. Randall E Keller
Title
Manager / Co-Owner
Phone
(740) 344-0388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 253Z00000X OH Primary

Addresses

Primary practice location

65 McMillen Dr
Newark, OH 43055-3648

Mailing address

65 McMillen Dr
Newark, OH 43055-3648
Phone (740) 344-0388

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1700027570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MCMILLEN DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553648",
            "telephone_number": "740-344-0388",
            "fax_number": "740-344-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MCMILLEN DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553648",
            "telephone_number": "740-344-0388",
            "fax_number": "740-344-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT RIDGE VILLAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER / CO-OWNER",
        "authorized_official_telephone_number": "740-344-0388",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": "253Z00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.