Provider Demographics
NPI:1245203108
Name:RED CARPET HEALTH CARE CENTER, INC.
Entity type:Organization
Organization Name:RED CARPET HEALTH CARE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VERN
Authorized Official - Middle Name:H
Authorized Official - Last Name:BEYNON
Authorized Official - Suffix:
Authorized Official - Credentials:LSW, LNHA
Authorized Official - Phone:740-439-4401
Mailing Address - Street 1:PO BOX 1480
Mailing Address - Street 2:8420 GEORGETOWN ROAD
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-6480
Mailing Address - Country:US
Mailing Address - Phone:740-439-4401
Mailing Address - Fax:740-439-0636
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:740-439-0636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1615R310400000X
OH1615N314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0318838Medicaid
36 6273Medicare ID - Type Unspecified