Organization · Type 2 NPI

Cridersville Nursing Home Operating Company, LLC

Skilled Nursing Facility · Cridersville, OH

NPI number 1689290082 Active

Practice location

603 E Main St
Cridersville, OH 45806-2411

Call (419) 645-4468 Map

Mailing address

5915 Landerbrook Dr Ste 350
Mayfield Heights, OH 44124-4063

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

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 r…

5 other providers at this address

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NPI record

NPI: 1689290082
Entity type: Organization (Type 2)
Issued: Jun 22, 2020
Last updated: Dec 17, 2024
Status: Active

Other names

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Cridersville Healthcare Center · doing business as
Cridersville Healthcare Center · doing business as

Authorized official

Mr. Jeffrey Degyansky, LNHA
Vice President of Operations
(330) 620-7828

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689290082

Cridersville Nursing Home Operating Company, LLC's National Provider Identifier is 1689290082, issued on Jun 22, 2020. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Cridersville, OH. The record was last updated on Dec 17, 2024.