MEDICARE: MINERAL RIDGE SKILLED NURSING AND RESIDENTIAL CARE, 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
1	310400000X	Assisted Living Facility	1218R	OH
2	314000000X	Skilled Nursing Facility	1218N	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1003849506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINERAL RIDGE SKILLED NURSING AND RESIDENTIAL CARE, LLC

Provider Business Mailing Address
First Line	:	2875 CENTER RD STE 6
Second Line	:
City	:	BRUNSWICK
State	:	OH
Zip	:	44212-2319
Country	:	US
Telephone Number	:	216-772-1105
Fax Number	:

Provider Business Practice Location Address
First Line	:	3379 MAIN ST
Second Line	:
City	:	MINERAL RIDGE
State	:	OH
Zip	:	44440-9735
Country	:	US
Telephone Number	:	330-652-9901
Fax Number	:	330-544-7541

Authorized Official
Title or Position	:	GENERAL COUNSEL
Name	:	BENJAMIN PARSONS
Credential	:
Telephone Number	:	216-772-1105

Provider Enumeration Date	:	07/08/2006
Last Update Date	:	01/26/2023

Similar Medicare Providers

1427422088 — MINERAL RIDGE SKILLED NURSING AND RESIDENTIAL CARE, LLC
Practice Location Address:

3379 MAIN ST
MINERAL RIDGE, OH
44440-9735

Practice Phone: 216-772-1105
Practice Fax:

1720524325 — MINERAL RIDGE SKILLED NURSING AND RESIDENTIAL CARE, LLC
Practice Location Address:

3379 MAIN ST
MINERAL RIDGE, OH
44440-9735

Practice Phone: 330-652-6745
Practice Fax:

1730762469 — ROBERT LOMBARDI BS
Practice Location Address:

1968 RIDGE WATER DR
SUTHERLIN, OR
97479-9735

Practice Phone: 530-566-7543
Practice Fax:

1447245576 — DR. GLORIA PERRY CATTERLIN D.O.
Practice Location Address:

1360 N CANFIELD NILES RD
MINERAL RIDGE, OH
44440-9600

Practice Phone: 330-652-6556
Practice Fax: 330-652-6390

1477548501 — DR. RICHARD LEE CATTERLIN D.O.
Practice Location Address:

1360 N CANFIELD NILES RD
MINERAL RIDGE, OH
44440-9600

Practice Phone: 330-652-6556
Practice Fax: 330-652-6390

1114079241 — MR. MICHAEL D STRANGE LMT
Practice Location Address:

1618 WARNER AVE
MINERAL RIDGE, OH
44440-9526

Practice Phone: 330-505-9913
Practice Fax: 990-759-9914

Directions to “MINERAL RIDGE SKILLED NURSING AND RESIDENTIAL CARE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.