Healthcare Provider Details

I. General information

NPI: 1245203108
Provider Name (Legal Business Name): RED CARPET HEALTH CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8420 GEORGETOWN RD
CAMBRIDGE OH
43725-8866
US

IV. Provider business mailing address

PO BOX 1480 8420 GEORGETOWN ROAD
CAMBRIDGE OH
43725-6480
US

V. Phone/Fax

Practice location:
  • Phone: 740-439-4401
  • Fax: 740-439-0636
Mailing address:
  • Phone: 740-439-4401
  • Fax: 740-439-0636

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number1615R
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1615N
License Number StateOH

VIII. Authorized Official

Name: MR. VERN H BEYNON
Title or Position: ADMINISTRATOR
Credential: LSW, LNHA
Phone: 740-439-4401