Provider Demographics
NPI:1669190385
Name:RED CARPET HEALTH CARE CENTER
Entity type:Organization
Organization Name:RED CARPET HEALTH CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ACCOUNTING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARY BETH
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:HUNDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-259-9800
Mailing Address - Street 1:8420 GEORGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-8866
Mailing Address - Country:US
Mailing Address - Phone:740-439-4401
Mailing Address - Fax:
Practice Address - Street 1:8420 GEORGETOWN RD
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-8866
Practice Address - Country:US
Practice Address - Phone:740-439-4401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EHCS CAMBRIDGE PROPERTIES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0435801Medicaid