NPIMap

Organization Active NPI

Ridge Care Management, Inc.

  • Adult Care Home Facility
  • Clemmons, NC
National Provider Identifier
1013473537
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
RIDGE CARE MANAGEMENT, INC.
Practice address
9420 N NC Hwy 150
Clemmons, NC 27012-6853
Phone
(336) 775-2205
Fax
(336) 775-2207
NPI assigned
Feb 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cindy Ann Neagle
Title
VP Finance
Phone
(336) 993-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

9420 N NC Hwy 150
Clemmons, NC 27012-6853

Mailing address

853 Old Winston Rd Ste 118
Kernersville, NC 27284-8781
Phone (336) 993-7555

Other names 1

  • Mallard Ridge Assisted Living Other name

National Provider Directory

National Provider Directory
Tax ID family
Forest Ridge Assisted Living4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9420 N NC Hwy 150
Clemmons, NC 27012
Phone (336) 775-2205

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1013473537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 OLD WINSTON RD STE 118",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848781",
            "telephone_number": "336-993-7555",
            "fax_number": "336-993-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 N NC HWY 150",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270126853",
            "telephone_number": "336-775-2205",
            "fax_number": "336-775-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE CARE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "NEAGLE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "336-993-7555"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mallard Ridge Assisted Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clemmons, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.