OTTERBEIN CRIDERSVILLE (NPI# 1437712841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437712841 |
| Entity Type | Organization |
| Organization Name | OTTERBEIN CRIDERSVILLE |
| Practice Address |
Otterbein Cridersville 100 Red Oak Cridersville OH 45806 |
| Mailing Address |
580 North State Route 741 Lebanon OH 45036-8839 |
| Practice Telephone | 4196455114 |
| Mailing Telephone | 5139335401 |
| Mailing Fax Number | 5139321054 |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-04-22 |
| Authorized Official Name | JAMES CHRIS GREEN (TREASURER & CFO) |
| Authorized Official Telephone | 5139335418 |
| Is Organization Subpart | Y |
| Parent Organization Name | OTTERBEIN CRIDERSVILLE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Otterbein Cridersville Assisted Living | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710979141 | Otterbein Cridersville | Skilled Nursing Facility | 100 Red Oak Dr, Cridersville, OH 45806-9618 | 2005-08-22 |
| Street Address |
OTTERBEIN CRIDERSVILLE 100 RED OAK |
| City | CRIDERSVILLE |
| State | OH |
| Zip Code | 45806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437528882 | Teaira Foster | Specialist/Technologist | 690 E Hume Rd, Lima, OH 45806 | 2015-09-16 |
| 1689091795 | Casandra Gossard | Physical Therapy Assistant | 19670 Graham Rd, Cridersville, OH 45806 | 2014-03-26 |
| 1053662270 | Paragon Rehabilitation | Skilled Nursing Facility | 3518 Camden Place, Lima, OH 45806 | 2012-09-27 |
| 1407148869 | Joshua Andrews | Counselor | 2963 Blue Jacket Ct Ste B, Lima, OH 45806 | 2011-05-04 |
| 1578745568 | The Endoscopy Center of West Central Ohio, LLC | Nurse Anesthetist, Certified Registered | 2793 Shawnee Road, Lima, OH 45806 | 2007-11-30 |
| 1639280878 | Tyra Louise Meyer | Dentist | 2969 Blue Jacket Court, Lima, OH 45806 | 2006-08-31 |
| 1912153875 | John C Manuel | Nurse Anesthetist, Certified Registered | 2793 Shawnee Rd, Lima, OH 45806 | 2008-08-12 |
| 1073604930 | Andrea Renee Leopold Brinkman | Dentist | 2969 Blue Jacket Court, Lima, OH 45806 | 2006-09-27 |
| 1649372889 | Schwietermans Village | Pharmacy | 200 W Main St, Cridersville, OH 45806 | 2006-09-01 |
| 1225348105 | Sonda Marie Lewis | Registered Nurse | 3110 Clement Dr, Lima, OH 45806-1100 | 2010-10-13 |
| Find all providers in zip 45806 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487899 | Nancy Lee Ward | Assisted Living Facility | 15069 Matville Rd, Orient, OH 43146-9725 | 2020-11-04 |
| 1235738014 | Country Living | Assisted Living Facility | 13028 Us Highway 52, West Portsmouth, OH 45663-8909 | 2020-10-22 |
| 1982203378 | Anna Robinson | Assisted Living Facility | 626 W Judson Ave, Youngstown, OH 44511-3256 | 2020-10-18 |
| 1568060549 | The Inn H Ashland Woods Management Company LLC | Assisted Living Facility | 1050 Dauch Dr., Ashland, OH 44805 | 2020-10-13 |
| 1639783673 | Majestic Care Fairfield Assisted Living LLC | Assisted Living Facility | 5251 Dixie Hwy, Fairfield, OH 45014-3036 | 2020-09-08 |
| 1568075778 | Transparent Care LLC | Assisted Living Facility | 7791 Heathermoor Dr, Columbus, OH 43235-4568 | 2020-08-26 |
| 1649891151 | The Pines Alf Inc. | Assisted Living Facility | 18144 Claridon Troy Rd, Hiram, OH 44234-9698 | 2020-05-06 |
| 1982238754 | Jennings Center for Older Adults | Assisted Living Facility | 10950 Pinegrove Trl, Chardon, OH 44024-8389 | 2020-03-02 |
| 1881228211 | Ashford of Grove City, LLC | Assisted Living Facility | 3197 Southwest Blvd, Grove City, OH 43123-2349 | 2020-02-25 |
| 1326671827 | With Grace, LLC | Assisted Living Facility | 20129 Scottsdale Blvd, Shaker Heights, OH 44122-6460 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
| City | CRIDERSVILLE |
| Zip Code | 45806 |
Please comment or provide details below to improve the information on OTTERBEIN CRIDERSVILLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.