Active NPI
Ridgewood Health Services, Inc.
- Skilled Nursing Facility
- Jasper, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- RIDGEWOOD HEALTH SERVICES, INC.
- Practice address
- 201 Oakhill Rd
Jasper, AL 35504-7496 - Phone
- (205) 221-4862
- Fax
- (205) 384-6404
- NPI assigned
- Jul 31, 2013
- Last updated
- Jul 31, 2013
- 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
- Joette Kelley Brown
- Title
- President
- Phone
- (205) 221-9111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
201 Oakhill Rd
Jasper, AL 35504-7496
Mailing address
903 11TH St NE
Jasper, AL 35504-8821
Phone (205) 221-9111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140403000521 | AL | Part A Provider - Skilled Nursing Facility | 0345471421 | Practice locations: Jasper, AL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1023440153. Details of each certification follow.
Skilled nursing facility certification: CCN 015315
- Legal name
- RIDGEWOOD HEALTH SERVICES, INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 1, 1977
- Last certification
- Jan 9, 2020
- Beds
- 98
- Ownership / control type
- Individual
- Multi-facility organization
- KELLY HEALTH
- Most recent change of ownership
- Oct 1, 2013
- Organization structure
- Corporation
- Incorporated
- Jul 17, 2013 in AL
- Enrollment address
- 201 Oakhill Road
Jasper, AL 35504-7496 - Nursing home name
- RIDGEWOOD HEALTH SERVICES, INC.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Ridgewood Health Services, Inc.
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Nov 1, 1977
- Medicare certification status
- Active
- Certified beds
- 98
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 10
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Joette K Brown | 5% Or Greater Direct Ownership Interest | Oct 1, 2013 | 80% |
| Corporate Officer | Oct 1, 2013 | 80% | |
| Operational/Managerial Control | Oct 1, 2013 | ||
| Adp of the SNF | Oct 1, 2013 | ||
| Direct Ownership Interest | Oct 1, 2013 | 80% | |
| Christopher Mathew Cornelius | Operational/Managerial Control | Feb 1, 2021 | |
| Adp of the SNF | Feb 1, 2021 | ||
| Boyde Jerome Harrison | Adp of the SNF | Oct 1, 2013 | |
| Champion Partners in Rehab IX, LLC | Adp of the SNF | Oct 1, 2013 | |
| Regina a Snow | Operational/Managerial Control | Apr 17, 2023 | |
| Adp of the SNF | Apr 17, 2023 | ||
| Kelley Health Holdings, Inc | Operational/Managerial Control | Oct 1, 2013 | |
| Adp of the SNF | Jul 9, 2025 | ||
| Alicia K Stewart | 5% Or Greater Direct Ownership Interest | Jul 20, 2015 | 20% |
| Corporate Officer | Jul 20, 2015 | 20% | |
| Operational/Managerial Control | Jul 20, 2015 | ||
| Adp of the SNF | Jul 20, 2015 | ||
| Direct Ownership Interest | Jul 20, 2015 | 20% | |
| Misty Tysor | Adp of the SNF | Aug 11, 2022 | |
| Dewonica Samuels | Operational/Managerial Control | Oct 1, 2024 | |
| Adp of the SNF | Oct 1, 2024 | ||
| Ridgewood Health Care, Inc. | Adp of the SNF | Oct 1, 2013 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Jasper, AL
- NPI 1265536304
Kelley Health Holdings, Inc
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Haleyville, AL
- NPI 1619908571
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375228800000",
"number": "1023440153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 11TH ST NE",
"city": "JASPER",
"state": "AL",
"postal_code": "355048821",
"telephone_number": "205-221-9111",
"fax_number": "205-387-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 OAKHILL RD",
"city": "JASPER",
"state": "AL",
"postal_code": "355047496",
"telephone_number": "205-221-4862",
"fax_number": "205-384-6404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIDGEWOOD HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-31",
"last_updated": "2013-07-31",
"status": "A",
"authorized_official_last_name": "KELLEY BROWN",
"authorized_official_first_name": "JOETTE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "205-221-9111"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jasper, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.