LOCUST RIDGE NURSING HOME INC (NPI# 1154419869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154419869 |
| Entity Type | Organization |
| Organization Name | LOCUST RIDGE NURSING HOME INC |
| Practice Address |
12745 Elm Corner Rd Williamsburg OH 45176-9621 |
| Practice Telephone | 9374442920 |
| Practice Fax Number | 9374441009 |
| Mailing Telephone | 9374442920 |
| Mailing Fax Number | 9374441009 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PATRICIA A MEEKER (BOARD OF DIRECTOR) |
| Authorized Official Telephone | 5137975144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 311500000X | Alzheimer Center (Dementia Center) | 0771N | OH | Nursing & Custodial Care Facilities |
| X | 313M00000X | Nursing Facility/Intermediate Care Facility | 0771N | OH | Nursing & Custodial Care Facilities |
| X | 314000000X | Skilled Nursing Facility | 0771N | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0071952 | 05 |
| Street Address |
12745 ELM CORNER RD |
| City | WILLIAMSBURG |
| State | OH |
| Zip Code | 45176-9621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033689385 | Locust Ridge Healthcare LLC | Skilled Nursing Facility | 12745 Elm Corner Rd, Williamsburg, OH 45176-9621 | 2018-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508384140 | Danielle Nicole Alsip | Licensed Practical Nurse | 5874 Marathon-edenton Rd, Williamsburg, OH 45176 | 2017-09-04 |
| 1629131321 | Margaret Louise Mcafee | Home Health Aide | 3480 Twin Bridges Road, Williamsburg, OH 45176 | 2006-12-18 |
| 1427141019 | Fitzgerald & Huling Pharmacy Inc | Pharmacy | 305 West Main, Williamsburg, OH 45176 | 2006-10-02 |
| 1295100444 | Rebecca Wilker | Doula | 307 S Broadway St, Williamsburg, OH 45176-1014 | 2015-12-13 |
| 1194226910 | Sahara Dawn Dorsey | Registered Nurse | 500 S 5th St Ste 202, Williamsburg, OH 45176-1017 | 2018-02-27 |
| 1841812393 | Healthsource of Ohio Inc | Clinic/Center | 500 S 5th St Ste 202, Williamsburg, OH 45176-1017 | 2020-05-07 |
| 1003438557 | Healthsource of Ohio Inc | Clinic/Center | 500 S 5th St Ste 202, Williamsburg, OH 45176-1017 | 2020-05-07 |
| 1750521324 | Williamsburg Local School District | Local Education Agency (LEA) | 549 W Main St Ste A, Williamsburg, OH 45176-1120 | 2009-02-23 |
| 1164643458 | Aimee Jean Cooper | Social Worker | 549 W Main St Ste B, Williamsburg, OH 45176-1120 | 2007-05-02 |
| 1639698145 | Trisha Elizabeth Hering | Social Worker | 549 W Main St Ste B, Williamsburg, OH 45176-1120 | 2017-09-15 |
| Find all providers in zip 45176 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937688 | Acclaim Senior Activities Center | Alzheimer Center (Dementia Center) | 3878 Indian Ripple Rd, Beavercreek, OH 45440-3448 | 2020-09-21 |
| 1679106512 | Brooklyn Pointe, LLC | Alzheimer Center (Dementia Center) | 4800 Idlewood Dr, Brooklyn, OH 44144-3131 | 2020-02-19 |
| 1245715507 | Brentwood Assisted Living LLC | Alzheimer Center (Dementia Center) | 915 W Aurora Rd, Sagamore Hills, OH 44067-1605 | 2018-10-02 |
| 1114324217 | Kemper House Highland Heights Operating Company LLC | Alzheimer Center (Dementia Center) | 407 Golfview Ln, Highland Heights, OH 44143-4414 | 2014-12-04 |
| 1750712956 | Na | Alzheimer Center (Dementia Center) | 7629 Maryland Ave, Cleveland, OH 44105-5927 | 2013-12-12 |
| 1578994778 | Taria White | Alzheimer Center (Dementia Center) | 15400 Maple Park Dr, Apt 22, Maple Heights, OH 44137-4294 | 2013-12-12 |
| 1720317605 | The Fairways | Alzheimer Center (Dementia Center) | 30630 Ridge Rd, Wickliffe, OH 44092-1166 | 2009-12-23 |
| 1952639767 | Wegman Family (canton) LLC Vi | Alzheimer Center (Dementia Center) | 4550 Hills and Dales Rd Nw, Canton, OH 44708-1508 | 2009-12-07 |
| 1831425925 | Summerville At Mentor LLC | Alzheimer Center (Dementia Center) | 5700 Emerald Ct, Mentor, OH 44060-1870 | 2009-10-23 |
| 1780910927 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 141 Chestnut Hill Dr, Ravenna, OH 44266-3916 | 2009-10-22 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 45176 |
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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.