Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareMINERAL RIDGE SKILLED NURSING AND RESIDENTIAL CARE, LLC
Assisted Living Facility
Mineral Ridge, Ohio
Provider NPI: 1003849506
Organization Information:Organization Name: MINERAL RIDGE SKILLED NURSING AND RESIDENTIAL CARE, LLC
Practice Location:
3379 MAIN ST MINERAL RIDGE, OH 44440 US
Tel: 330-652-9901 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3379 MAIN ST MINERAL RIDGE, OH 44440 US
Tel: 330-652-9901 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | OH | 1218R |
| Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | OH | 1218N |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 2658271 | OH | 05 | |
| MEDICAID ASSISTANT LIVING WAIVER | 167615174 | OH | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin