FOUNTAIN PARK RIESEN CENTER (NPI# 1356588248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356588248 |
| Entity Type | Organization |
| Organization Name | FOUNTAIN PARK RIESEN CENTER |
| Practice Address |
1433 N Main St Bryan OH 43506-1053 |
| Mailing Address |
1391 N Main St Bryan OH 43506-1057 |
| Practice Telephone | 4196339191 |
| Practice Fax Number | 4196339192 |
| Mailing Telephone | 4196334315 |
| Mailing Fax Number | 4196367287 |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |
| Authorized Official Name | SHEILA LYNN SABO (OWNER) |
| Authorized Official Telephone | 9412707627 |
| Is Organization Subpart | Y |
| Parent Organization Name | FOUNTAIN PARK INN& VILLAS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311500000X | Alzheimer Center (Dementia Center) | 2489R | OH | Nursing & Custodial Care Facilities |
| Street Address |
1433 N MAIN ST |
| City | BRYAN |
| State | OH |
| Zip Code | 43506-1053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407278666 | Stacy Kosha | Occupational Therapist | 1433 N Main St, Bryan, OH 43506-1053 | 2014-01-07 |
| 1255605481 | Christine V Smith | Occupational Therapist | 1433 N Main St, Bryan, OH 43506-1053 | 2012-03-06 |
| 1922377654 | Carol Jane Peggs | Physical Therapist | 1433 N Main St, Bryan, OH 43506-1053 | 2011-12-27 |
| 1952602625 | Premier Operating Ohio, LLC | Assisted Living Facility | 1433 N Main St, Bryan, OH 43506-1053 | 2010-11-10 |
| 1578700837 | Fountain Park Inn, Bryan | Assisted Living Facility | 1433 N Main St, Bryan, OH 43506-1053 | 2009-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750883203 | Jennifer Spangler | Massage Therapist | 228 S. Main St., Bryan, OH 43506 | 2018-03-01 |
| 1922547215 | Alissa Niswonger | Specialist/Technologist | 106 Avenue B, Bryan, OH 43506 | 2017-02-20 |
| 1902140320 | Marcia Jean Slabaugh | Physical Therapy Assistant | 5299 County Road 1575, Bryan, OH 43506 | 2012-11-26 |
| 1215086640 | Filling Memorial Home Cardinal | Intermediate Care Facility, Mentally Retarded | 1211 Cardinal Drive, Bryan, OH 43506 | 2007-01-08 |
| 1396855714 | Williams County Transport | Ambulance | 05842 St Rt 15, Bryan, OH 43506 | 2006-08-30 |
| 1982635603 | Americare Health Services LLC | Durable Medical Equipment & Medical Supplies | 121 E South St, Bryan, OH 43506 | 2006-07-05 |
| 1174561963 | Richard U Baldwin | Emergency Medicine | 433 W. High St., Bryan, OH 43506 | 2006-06-03 |
| 1073595757 | Thomas A. Losey | Family Medicine | 442 West High Street, Midwest Community Health Associates, Bryan, OH 43506 | 2005-11-17 |
| 1841298296 | Claire Laree Osborn | Family Medicine | Activate Healthcare/500 W Mulberry St., Suite 101, Bryan, OH 43506 | 2005-07-11 |
| 1225519762 | Fountain City Chiropractic & Rehabilitation, Inc | Chiropractor | 1525 W High St, Ste A, Bryan, OH 43506 | 2018-08-23 |
| Find all providers in zip 43506 | ||||
| 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 | ||||
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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.