Organization
RYAN'S HOUSE LTD
Active
Parent organization
ROOTED IN GRACE
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROOTED IN GRACE
Authorized official
MR. ROSS LONG (DOO)
(330) 617-7173
Entity
Organization
Contact information
Practice address
3181 NORTHWEST BLVD APT 363, UPPER ARLINGTON, OH 43221-2269
(330) 617-7173
Mailing address
3181 NORTHWEST BLVD APT 363, UPPER ARLINGTON, OH 43221-2269
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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