Audrich, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2189R Issued in OH

Legal business name

AUDRICH, INC.

Practice address

670 Flat Rock Rd
Bellevue, OH 44811-9486

Phone

(419) 484-1111

Fax

(419) 484-4048

NPI assigned

Jul 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Mary L Tebeau, CFO

Title

Corporate Treasurer

Phone

(419) 484-1111

Specialties & licenses 1

Addresses

Other names 1

• Orchard Grove Assisted Living Doing business as

Tax ID family

Audrich Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Audrich, Inc.

  • Skilled Nursing Facility
  • Grand Rapids, OH
  • NPI 1033137005
  NPD tax ID

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932123700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 FLAT ROCK RD",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119486",
            "telephone_number": "419-484-1111",
            "fax_number": "419-484-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 FLAT ROCK RD",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119486",
            "telephone_number": "419-484-1111",
            "fax_number": "419-484-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDRICH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEBEAU",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CORPORATE TREASURER",
        "authorized_official_telephone_number": "419-484-1111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2189R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchard Grove Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Jo Aichholz, CNP
• Orville Rene Amburn, MD
• Ashley Anne Amos, MA
• Angie'S Spa LLC
• Audrich, Inc.
• Ball Medical Clinic Inc
• Benjamin Edward Ball, D.O.
• Theodore Raymond Ball, M.D.
• William R Bauer, MD, PHD
• Bayless Pathmark Inc

• All providers in Bellevue, OH
• Assisted Living Facility in Ohio

• 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.