Patriot Ridge Community – Skilled Nursing Facility, NPI 1528041647

Patriot Ridge Community is a healthcare provider. based in Fairborn, Ohio. specializing in Skilled Nursing Facility. The organization holds a License No. 5967 (OH). The NPI Number for Patriot Ridge Community is 1528041647

Main info

Organization
Name
Patriot Ridge Community
NPI
1528041647
Phone
(937) 878-0262
Address
789 STONEYBROOK TRL
Authorized Official
MR. ROB WEISBRODT VP IT SERVICES
Enumeration Date
22 November 2005
Last Update Date
7 January 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Patriot Ridge Community

  • 789, Stoneybrook Trail, Rona Village, Fairborn, Greene County, Ohio, 45324, United States

    FAIRBORN, OH 453246021

    Phone: (937) 878-0262

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-08-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20070828000115OSkilled Nursing FacilityOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45324)

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Reviews

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Frequently asked questions

How do I look up Patriot Ridge Community by NPI?
Use NPI 1528041647 when you need to reference Patriot Ridge Community in forms, claims, or directories.
Is Patriot Ridge Community currently active in the NPI registry?
CMS-published data lists Patriot Ridge Community as an active registrant.
Does Patriot Ridge Community list a primary specialty?
If you are matching referrals, note Skilled Nursing Facility for Patriot Ridge Community. Clinical services aligned with this taxonomy classification.
What location metadata exists for Patriot Ridge Community?
The page summarizes Fairborn, Ohio for Patriot Ridge Community; expand the address list for detail.
Is Patriot Ridge Community a real provider?
This page reflects official NPPES data for NPI 1528041647. Always confirm identity and privileges with the practice and licensing boards.

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