Healthcare Ventures of Ohio, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1580N Issued in OH

Legal business name

HEALTHCARE VENTURES OF OHIO, LLC

Doing business as

Cridersville Nursing Home

Practice address

603 E Main St
Cridersville, OH 45806-2454

Phone

(419) 645-4468

Fax

(419) 645-4648

NPI assigned

Nov 24, 2006

Organization subpart

No

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

Authorized official

Name

Oscar G Aleman

Title

Controller

Phone

(614) 459-2482

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cridersville Nursing Home Doing business as

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1780750679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 OLD HENDERSON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203644",
            "telephone_number": "614-459-2482",
            "fax_number": "614-459-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E MAIN ST",
            "city": "CRIDERSVILLE",
            "state": "OH",
            "postal_code": "458062454",
            "telephone_number": "419-645-4468",
            "fax_number": "419-645-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE VENTURES OF OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "ALEMAN",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "614-459-2482"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1580N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2561393",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cridersville Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shane Fisher
• Casandra Gossard, PTA
• Nathan Luke Green
• Allison Leigh Griesdorn, MSW
• Elizabeth Noelle Hartman
• Kasey Helmstetter
• Karley Jo Holmes
• Melissa Howell, ANP-BC
• Mary Jolly
• Teresa Kay Keller

• Skilled Nursing Facility in Cridersville, OH
• Providers in Cridersville, 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 Aug 16, 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.