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NPI Code Detail

MEDICARE: RIDGE (MD) LEASING CO., LLC

MEDICARE: RIDGE (MD) LEASING CO., LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780861906
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIDGE (MD) LEASING CO., LLC
Provider Business Mailing Address
First Line : 10123 ALLIANCE RD
Second Line :
City : BLUE ASH
State : OH
Zip : 45242-4887
Country : US
Telephone Number : 513-530-1808
Fax Number :
Provider Business Practice Location Address
First Line : 3000 N RIDGE RD
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-3311
Country : US
Telephone Number : 410-461-7577
Fax Number :
Authorized Official
Title or Position : TREASURER
Name : CHARLES STOLTZ
Credential :
Telephone Number : 513-530-1808
Provider Enumeration Date : 01/30/2008
Last Update Date : 05/01/2025

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