Earley & Ross of Fayette County L,LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

EARLEY & ROSS OF FAYETTE COUNTY L,LLC

Practice address

719 Rawlings St
Washington Court House, OH 43160-1517

Phone

(740) 335-1380

Fax

(740) 636-0643

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Tim Ross

Title

Administrator

Phone

(740) 335-1380

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Wintersong Village Doing business as

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1861689465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 RAWLINGS ST",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431601517",
            "telephone_number": "740-335-1380",
            "fax_number": "740-636-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 RAWLINGS ST",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431601517",
            "telephone_number": "740-335-1380",
            "fax_number": "740-636-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLEY & ROSS OF FAYETTE COUNTY L,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "740-335-1380",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2768189",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY NPI",
            "identifier": "1861689465",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "366262",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wintersong Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John R Desmarais, MD
• Michael Dickens Jr.
• Stephanie Adele Donoian, LPN
• Dr Stephanie McDonald OD LLC
• Ronald Alvah Dunn Jr.
• Earley & Ross of Fayette County LL,LLC
• Taylor E Edwards
• Tammy Kay Elensky
• Magdalana Josephine Elrich, LPN
• Erika Nicole Conger Daycare

• Skilled Nursing Facility in Washington Court House, OH
• Providers in Washington Court House, 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 Jun 21, 2018; 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.