FOUR SEASONS RANCH, LLC. (NPI# 1679189138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679189138 |
| Entity Type | Organization |
| Organization Name | FOUR SEASONS RANCH, LLC. |
| Practice Address |
5625 Elm Hill Dr Solon OH 44139-1943 |
| Practice Telephone | 2166324578 |
| Mailing Telephone | 2166324578 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | MRS. DIONNA GORE (EXECUTIVE DIRECTOR/CEO) |
| Authorized Official Telephone | 2166324578 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Four Seasons Ranch | Doing Business As Name - Organization |
| Street Address |
5625 ELM HILL DR |
| City | SOLON |
| State | OH |
| Zip Code | 44139-1943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749308 | Leela R Nair | Technician | 32627 Springside Lane, Solon, OH 44139 | 2020-10-29 |
| 1992322556 | Khetam Mohammed Abed | Nurse Practitioner | 30575 Brainbridge Road, Suite 200, Solon, OH 44139 | 2020-06-30 |
| 1841756194 | The Dental Office of Solon Jonathan J Klineman | Dentist | 6175 Som Center Road #235, Solon, OH 44139 | 2019-02-12 |
| 1942736038 | Rada Duplik | Pharmacist | 32565 Stonybrook Lane, Solon, OH 44139 | 2017-05-10 |
| 1831631761 | Deborah Lahey | Speech-Language Pathologist | 5955 Buckboard Lane, Solon, OH 44139 | 2016-11-09 |
| 1558719815 | Center for Stroke and Hand Recovery | Clinic/Center | 32901 Station St., Suite 102, Solon, OH 44139 | 2016-05-27 |
| 1639542079 | Sonya Movassaghi | Dentist | 34194 Aurora Rd, #166, Solon, OH 44139 | 2015-11-06 |
| 1548648017 | Richard A. Marvin | Social Worker | 7196 Som Center Rd., Our Redeemer Lutheran Church, Solon, OH 44139 | 2015-05-15 |
| 1285057125 | Rachel Heflen | Social Worker | 33595 Bainbridge Rd Ste 101, Solon, OH 44139 | 2014-01-29 |
| 1134426398 | Justin J Crivelli | Internal Medicine | 30575 Bainbridge Rd, Solon, OH 44139 | 2011-02-23 |
| Find all providers in zip 44139 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315103 | Friend Home | Custodial Care Facility | 121 Wolf Rd, Mansfield, OH 44903-8739 | 2020-10-28 |
| 1902404098 | Carol Noss | Custodial Care Facility | 6481 Dale Dr, Brookpark, OH 44142-3454 | 2020-10-12 |
| 1336754696 | David L Thompson | Custodial Care Facility | 59 West St, Jackson, OH 45640-1566 | 2020-09-14 |
| 1598393092 | Ebony Monique Eaddie | Custodial Care Facility | 3523 Woodridge Rd, Cleveland Heights, OH 44121-1533 | 2020-03-30 |
| 1710536354 | Dare To Be Different, LLC | Custodial Care Facility | 6303 Luther Ave, Cleveland, OH 44103-2575 | 2019-09-06 |
| 1396309258 | Patricia Sims | Custodial Care Facility | 6648 Afton Ave, Cincinnati, OH 45213-1130 | 2019-04-26 |
| 1285190264 | Felicia Hawkins | Custodial Care Facility | 2942 Banning Rd Apt 220, Cincinnati, OH 45239-5584 | 2019-02-14 |
| 1225507304 | Shirleen Barbara Ross | Custodial Care Facility | 3315 Mayo St Apt 111, Toledo, OH 43611-3260 | 2018-11-18 |
| 1770050023 | Cierra Thompson | Custodial Care Facility | 5599 Westerville Rd, Westerville, OH 43081-9365 | 2018-10-25 |
| 1811484181 | Losko | Custodial Care Facility | 1639 E 77th St, Cleveland, OH 44103-4182 | 2018-04-22 |
| 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.