Provider Demographics
NPI:1093501579
Name:RIDGE-PLEASANT VALLEY, INC.
Entity type:Organization
Organization Name:RIDGE-PLEASANT VALLEY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-590-0969
Mailing Address - Street 1:7377 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-6602
Mailing Address - Country:US
Mailing Address - Phone:216-898-8399
Mailing Address - Fax:216-898-8455
Practice Address - Street 1:7377 RIDGE RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-6602
Practice Address - Country:US
Practice Address - Phone:216-898-8399
Practice Address - Fax:216-898-8455
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RIDGE-PLEASANT VALLEY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-19
Last Update Date:2025-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2925580Medicaid