Provider Demographics
NPI:1720092711
Name:HCF OF PLEASANT HILL, INC.
Entity Type:Organization
Organization Name:HCF OF PLEASANT HILL, INC.
Other - Org Name:PLEASANT HILL MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR - CORPORATE COMPLIANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STECHSCHULTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-999-2010
Mailing Address - Street 1:7143 US ROUTE 23 S
Mailing Address - Street 2:
Mailing Address - City:PIKETON
Mailing Address - State:OH
Mailing Address - Zip Code:45661-9527
Mailing Address - Country:US
Mailing Address - Phone:740-289-2394
Mailing Address - Fax:740-289-2231
Practice Address - Street 1:7143 US ROUTE 23 S
Practice Address - Street 2:
Practice Address - City:PIKETON
Practice Address - State:OH
Practice Address - Zip Code:45661-9527
Practice Address - Country:US
Practice Address - Phone:740-289-2394
Practice Address - Fax:740-289-2231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1621N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2437438Medicaid
OH000000320883OtherANTHEM
OH1003321OtherOHIO HEALTH CHOICE INC.
OH1003321OtherOHIO HEALTH CHOICE INC.