Provider Demographics
NPI:1083901896
Name:RATLIFF ENTERPRISES, INC.
Entity Type:Organization
Organization Name:RATLIFF ENTERPRISES, INC.
Other - Org Name:TWIN MAPLES HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BENTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-596-1022
Mailing Address - Street 1:PO BOX 310
Mailing Address - Street 2:
Mailing Address - City:MC ARTHUR
Mailing Address - State:OH
Mailing Address - Zip Code:45651-0310
Mailing Address - Country:US
Mailing Address - Phone:740-596-1022
Mailing Address - Fax:740-596-1626
Practice Address - Street 1:63044 US HIGHWAY 50
Practice Address - Street 2:
Practice Address - City:MC ARTHUR
Practice Address - State:OH
Practice Address - Zip Code:45651-8404
Practice Address - Country:US
Practice Address - Phone:740-596-1022
Practice Address - Fax:740-596-1626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0318481251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2115722Medicaid
OH367742OtherMEDICARE
OH0318481Medicaid