Active NPI
Ridgeway Nursing & Rehabilitation Facility LLC
- Pediatric Skilled Nursing Facility
- Owingsville, KY
National Provider Identifier
1023007648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Skilled Nursing Facility
- Legal business name
- RIDGEWAY NURSING & REHABILITATION FACILITY LLC
- Practice address
- 406 Wyoming Road
Owingsville, KY 40360-8842 - Phone
- (606) 674-6613
- Fax
- (606) 674-9418
- NPI assigned
- Oct 17, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimberly Morrow
- Title
- VP of Administrative Support
- Phone
- (859) 623-0898
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Skilled Nursing Facility | 3140N1450X | Primary |
Addresses
Primary practice location
406 Wyoming Road
Owingsville, KY 40360-8842
Mailing address
300 Provider CT
Suite 100
Richmond, KY 40475-8488
Phone (859) 623-0898
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12504544 | Medicaid | KY | |
| 90160763 | Medicaid | KY |
Other names 1
- Ridgeway Nursing and Rehabilitation Facility
National Provider Directory
National Provider Directory- Tax ID family
- Ridgeway NRF Operations
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Owingsville, KY
- NPI 1972055515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349136000000",
"number": "1023007648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PROVIDER CT",
"address_2": "SUITE 100",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404758488",
"telephone_number": "859-623-0898",
"fax_number": "859-623-0843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 WYOMING ROAD",
"city": "OWINGSVILLE",
"state": "KY",
"postal_code": "403608842",
"telephone_number": "606-674-6613",
"fax_number": "606-674-9418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIDGEWAY NURSING & REHABILITATION FACILITY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-17",
"last_updated": "2012-10-02",
"status": "A",
"authorized_official_last_name": "MORROW",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "VP OF ADMINISTRATIVE SUPPORT",
"authorized_official_telephone_number": "859-623-0898",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12504544",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90160763",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ridgeway Nursing and Rehabilitation Facility",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Owingsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.