NPIMap

Organization Active NPI

Mineral Ridge Skilled Nursing and Residential Care, LLC

  • Assisted Living Facility
  • Mineral Ridge, OH
National Provider Identifier
1720524325
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MINERAL RIDGE SKILLED NURSING AND RESIDENTIAL CARE, LLC
Practice address
3379 Main St
Mineral Ridge, OH 44440-9735
Phone
(330) 652-6745
NPI assigned
Jan 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Authorized official

Name
Benjamin Parsons
Title
General Counsel
Phone
(216) 772-1105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3379 Main St
Mineral Ridge, OH 44440-9735

Mailing address

7261 Engle Rd
Ste 200
Middleburg Heights, OH 44130-8467

National Provider Directory

National Provider Directory
Tax ID family
Mineral Ridge Skilled Nursing and Residential Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1720524325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7261 ENGLE RD",
            "address_2": "STE 200",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3379 MAIN ST",
            "city": "MINERAL RIDGE",
            "state": "OH",
            "postal_code": "444409735",
            "telephone_number": "330-652-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERAL RIDGE SKILLED NURSING AND RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "216-772-1105"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Ridge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.