Provider Demographics
NPI:1558616375
Name:RIDGE HVP LLC
Entity Type:Organization
Organization Name:RIDGE HVP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:NEVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-753-9964
Mailing Address - Street 1:50 W TECHNE CENTER DR
Mailing Address - Street 2:SUITE B5
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-8403
Mailing Address - Country:US
Mailing Address - Phone:513-753-9964
Mailing Address - Fax:513-753-9968
Practice Address - Street 1:4560 STATE ROAD 222
Practice Address - Street 2:
Practice Address - City:BATAVIA
Practice Address - State:OH
Practice Address - Zip Code:45103-9778
Practice Address - Country:US
Practice Address - Phone:513-753-9964
Practice Address - Fax:513-753-9968
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTHCARE VENTURE PARTNERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-07-18
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35047607324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility