CRESTWOOD RIDGE NURSING AND REHABILITATION, INC. (NPI# 1902969330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902969330 |
| Entity Type | Organization |
| Organization Name | CRESTWOOD RIDGE NURSING AND REHABILITATION, INC. |
| Other Organization Name | CRESTWOOD RIDGE SKILLED NURSING AND REHABILITATION |
| Practice Address |
141 Willetsville Pike Hillsboro OH 45133-9476 |
| Mailing Address |
70 Park Ave W Mansfield OH 44902-1624 |
| Practice Telephone | 9373936700 |
| Mailing Telephone | 4195297272 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2012-05-10 |
| Authorized Official Name | MICHAEL J BUNNER (PRESIDENT) |
| Authorized Official Telephone | 7408270389 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Crestwood Ridge Skilled Nursing and Rehabilitation | Doing Business As Name - Organization |
| Street Address |
141 WILLETSVILLE PIKE |
| City | HILLSBORO |
| State | OH |
| Zip Code | 45133-9476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831438423 | Rhonda R Mitchell | Occupational Therapy Assistant | 141 Willetsville Pike, Hillsboro, OH 45133-9476 | 2013-02-03 |
| 1568675080 | Mellon Ridge, Inc. | Custodial Care Facility | 141 Willetsville Pike, Hillsboro, OH 45133-9476 | 2007-05-08 |
| 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 | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841693793 | Eastland Memorial Hospital District | Skilled Nursing Facility | 411 Old Brandon Rd, Hillsboro, TX 76645-2702 | 2014-10-07 |
| 1265597462 | Pyramid Healthcare Corp | Skilled Nursing Facility | 1725 Old Brandon Rd, Hillsboro, TX 76645-2702 | 2006-12-27 |
| 1306934963 | School Street Associates | Skilled Nursing Facility | 67 School Street, Hillsboro, NH 03244 | 2006-10-10 |
| 1295849784 | St. Joseph's Community Health Services, Inc | Skilled Nursing Facility | 400 Water Avenue, Hillsboro, WI 54634 | 2006-08-19 |
| 1164439931 | Town Hall Estates-hillsboro, Inc. | Skilled Nursing Facility | 300 Happy Ln, Hillsboro, TX 76645-2624 | 2006-08-02 |
| 1346267317 | Peckham-miller, Inc | Skilled Nursing Facility | 650 Se Oak St, Hillsboro, OR 97123-4120 | 2006-07-16 |
| 1710920764 | Salem Hospital, Inc. | Skilled Nursing Facility | 704 S Ash St, Hillsboro, KS 67063-1506 | 2006-06-14 |
| 1184666711 | Heartland of Hillsboro Oh LLC | Skilled Nursing Facility | 1141 Northview Dr, Hillsboro, OH 45133-8525 | 2006-06-11 |
| 1780632471 | Evergreen Oregon Healthcare Tualatin LLC | Skilled Nursing Facility | 1778 Ne Cornell Rd, Hillsboro, OR 97124-2740 | 2006-05-04 |
| 1285621862 | Parkside Homes Inc. | Skilled Nursing Facility | 200 Willow Road, Hillsboro, KS 67063-1999 | 2005-09-29 |
| Find all providers in HILLSBORO | ||||
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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.