RIDGECREST HEALTHCARE GROUP INC. (NPI# 1427169564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427169564 |
Entity Type | Organization |
Organization Name | RIDGECREST HEALTHCARE GROUP INC. |
Other Organization Name | WHITE OAK MANOR |
Practice Address |
1926 Ridge Ave Se Warren OH 44484-2821 |
Practice Telephone | 3303694672 |
Practice Fax Number | 3303692367 |
Mailing Telephone | 3303694672 |
Mailing Fax Number | 3303692367 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |
Authorized Official Name | WILLIAM I WEISBERG (ITS VP) |
Authorized Official Telephone | 2162925706 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 0517N | OH | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2557282 | 05 |
Other Name | Type Code |
---|---|
White Oak Manor | Doing Business As Name - Organization |
Street Address |
1926 RIDGE AVE SE |
City | WARREN |
State | OH |
Zip Code | 44484-2821 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679023253 | White Oak Healthcare, LLC | Skilled Nursing Facility | 1926 Ridge Ave Se, Warren, OH 44484-2821 | 2016-10-07 |
1417345265 | Brenda Osburn | Community Health Worker | 1926 Ridge Ave Se, Warren, OH 44484-2821 | 2015-01-02 |
1679961445 | Jennifer Ferguson | Community Health Worker | 1926 Ridge Ave Se, Warren, OH 44484-2821 | 2015-01-02 |
1205224128 | White Oak Manor | Skilled Nursing Facility | 1926 Ridge Ave Se, Warren, OH 44484-2821 | 2014-12-30 |
1619373370 | Andrea Gintert | Occupational Therapy Assistant | 1926 Ridge Ave Se, Warren, OH 44484-2821 | 2014-11-07 |
1396153896 | Rachelle Giering | Physical Therapy Assistant | 1926 Ridge Ave Se, Warren, OH 44484-2821 | 2014-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
Find all providers in zip 44484 |
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 |
---|---|---|---|---|
1467735977 | Van Dyke Partners LLC | Skilled Nursing Facility | 31800 Van Dyke Ave, Warren, MI 48093-7907 | 2011-09-21 |
1841442811 | Wagnon Place Health Facilities | Skilled Nursing Facility | 1440 East Church Street, Warren, AR 71671 | 2008-10-21 |
1396822771 | Warren Geriatric Village, Inc | Skilled Nursing Facility | 11700 E 10 Mile Rd, Warren, MI 48089-3903 | 2006-11-01 |
1598852782 | Thi of Ohio At Imperial, LLC | Skilled Nursing Facility | 4121 Tod Ave Nw, Warren, OH 44485-1258 | 2006-10-07 |
1770670952 | Thi of Ohio At Horizon Village, LLC | Skilled Nursing Facility | 2473 North Rd Ne, Warren, OH 44483-3054 | 2006-10-07 |
1184722522 | Gillette Nursing Home, Inc. | Skilled Nursing Facility | 3310 Elm Rd Ne, Warren, OH 44483-2614 | 2006-09-20 |
1477563120 | Omni Manor, Inc. | Skilled Nursing Facility | 200 Glendola Ave Nw, Warren, OH 44483-1247 | 2006-08-08 |
1053325951 | Hcf of Warren, Inc. | Skilled Nursing Facility | 682 Pleasant Dr, Warren, PA 16365-3468 | 2006-07-28 |
1063433225 | Community Skilled Nursing Centre | Skilled Nursing Facility | 1320 Mahoning Ave Nw, Warren, OH 44483-2002 | 2006-07-22 |
1538102769 | Ssc Warren Operating Company LLC | Skilled Nursing Facility | 11525 East Ten Mile Road, Warren, MI 48089-3802 | 2006-06-14 |
Find all providers in WARREN |
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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.