Organization
MINERAL RIDGE SKILLED NURSING AND RESIDENTIAL CARE, LLC
Active
Other names
Vista Center at the Ridge, Continuing Healthcare at the RIdge
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN PARSONS (GENERAL COUNSEL)
(216) 772-1105
Entity
Organization
Contact information
Practice address
3379 MAIN ST, MINERAL RIDGE, OH 44440-9735
(330) 652-9901
(330) 544-7541
Mailing address
2875 CENTER RD STE 6, BRUNSWICK, OH 44212-2319
(216) 772-1105
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
1218R
OH
314000000X
Skilled Nursing Facility
Primary
1218N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
167615174
MEDICAID ASSISTANT LIVING WAIVER
OH
05
—
2658271
—
OH
Enumeration date
07/08/2006
Last updated
01/26/2023
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