MELLON RIDGE, INC. (NPI# 1568675080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568675080 |
| Entity Type | Organization |
| Organization Name | MELLON RIDGE, INC. |
| Other Organization Name | HIGHLAND HILLS |
| Practice Address |
141 Willetsville Pike Hillsboro OH 45133-9476 |
| Mailing Address |
22021 Brookpark Rd Ste 123 Fairview Park OH 44126-3100 |
| Practice Telephone | 4406140160 |
| Practice Fax Number | 4406140168 |
| Mailing Telephone | 4406140160 |
| Mailing Fax Number | 4406140168 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRIAN COLLERAN (PRESIDENT) |
| Authorized Official Telephone | 4406140160 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Highland Hills | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609089135 | Mellon Ridge, Inc. | Assisted Living Facility | 1659 State Route 28, Goshen, OH 45122-9705 | 2007-05-08 |
| 1851504385 | Mellon Ridge, Inc. | Assisted Living Facility | 25773 State Route 41, Peebles, OH 45660-8953 | 2007-05-08 |
| Street Address |
141 WILLETSVILLE PIKE |
| City | HILLSBORO |
| State | OH |
| Zip Code | 45133-9476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902969330 | Crestwood Ridge Nursing and Rehabilitation, Inc. | Skilled Nursing Facility | 141 Willetsville Pike, Hillsboro, OH 45133-9476 | 2006-12-18 |
| 1831438423 | Rhonda R Mitchell | Occupational Therapy Assistant | 141 Willetsville Pike, Hillsboro, OH 45133-9476 | 2013-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275156432 | Laura Andre | Optometrist | 925 W. Main Street, Hillsboro, OH 45133 | 2020-05-22 |
| 1881225381 | Menders Home Care | Home Health | 5778 Crosen Rd, Hillsboro, OH 45133 | 2020-02-03 |
| 1366906844 | Highland Health Providers Corp | Clinic/Center | 11130 North Shore Drive, Hillsboro, OH 45133 | 2019-01-29 |
| 1336639939 | Buckeye Dentistry LLC | Clinic/Center | 7625 Pea Ridge Rd., Hillsboro, OH 45133 | 2018-05-18 |
| 1447752936 | Highland Health Providers Corp | Clinic/Center | 1402 N. High Street, Hillsboro, OH 45133 | 2018-03-01 |
| 1467970103 | Amber Michele Younker | Social Worker | 149 Chillicothe Avenue, Hillsboro, OH 45133 | 2017-09-01 |
| 1972059624 | Connie Sue Fraley | Licensed Practical Nurse | 8958 Pigeon Roost Rd., Hillsboro, OH 45133 | 2016-08-31 |
| 1760857098 | Alicia N Wilson | Nurse Practitioner | 225 W Main St Unit B, Hillsboro, OH 45133 | 2015-12-11 |
| 1427429364 | Crystal Lynn Chambers | Registered Nurse | 7002 St Rt 124, Hillsboro, OH 45133 | 2015-10-19 |
| 1578905022 | Andrea K Howard | Nurse Practitioner | 160 Roberts Lane, Hillsboro, OH 45133 | 2013-07-25 |
| Find all providers in zip 45133 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315103 | Friend Home | Custodial Care Facility | 121 Wolf Rd, Mansfield, OH 44903-8739 | 2020-10-28 |
| 1902404098 | Carol Noss | Custodial Care Facility | 6481 Dale Dr, Brookpark, OH 44142-3454 | 2020-10-12 |
| 1679189138 | Four Seasons Ranch, LLC. | Custodial Care Facility | 5625 Elm Hill Dr, Solon, OH 44139-1943 | 2020-09-21 |
| 1336754696 | David L Thompson | Custodial Care Facility | 59 West St, Jackson, OH 45640-1566 | 2020-09-14 |
| 1598393092 | Ebony Monique Eaddie | Custodial Care Facility | 3523 Woodridge Rd, Cleveland Heights, OH 44121-1533 | 2020-03-30 |
| 1710536354 | Dare To Be Different, LLC | Custodial Care Facility | 6303 Luther Ave, Cleveland, OH 44103-2575 | 2019-09-06 |
| 1396309258 | Patricia Sims | Custodial Care Facility | 6648 Afton Ave, Cincinnati, OH 45213-1130 | 2019-04-26 |
| 1285190264 | Felicia Hawkins | Custodial Care Facility | 2942 Banning Rd Apt 220, Cincinnati, OH 45239-5584 | 2019-02-14 |
| 1225507304 | Shirleen Barbara Ross | Custodial Care Facility | 3315 Mayo St Apt 111, Toledo, OH 43611-3260 | 2018-11-18 |
| 1770050023 | Cierra Thompson | Custodial Care Facility | 5599 Westerville Rd, Westerville, OH 43081-9365 | 2018-10-25 |
| Find all providers with the same taxonomy | ||||
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| 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.