MELLON RIDGE INC. NPI 1851504385

NPI Information

NPI: 1851504385
Provider Name: MELLON RIDGE, INC.

Doing Business As: PEEBLES RESIDENT HOME

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
25773 STATE ROUTE 41
PEEBLES, OH
ZIP 45660
Phone: (937) 587-5414
Get Directions

MELLON RIDGE, INC. is an assisted living facility in Peebles, OH. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MELLON RIDGE, INC. NPI is 1851504385. The provider is registered as an organization entity type.
The provider Is Doing Business As Peebles Resident Home.

The provider's business location address is:

25773 STATE ROUTE 41
PEEBLES, OH
ZIP 45660-953
Phone: (937) 587-5414
Fax: (440) 614-0168

The provider's authorized official is Brian Colleran .
The authorized official title is President and has the following contact phone number (440) 614-0160.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		1955	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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