Organization Active NPI

Ridgewood Health Services, Inc.

  • Skilled Nursing Facility
  • Jasper, AL
National Provider Identifier
1023440153
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 015315 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
Nov 1, 1977
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9883.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Joette K Brown Individual 5% Or Greater Direct Ownership InterestPresident Oct 1, 2013 80%
Corporate OfficerPresident 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 Individual Operational/Managerial Control Feb 1, 2021
Adp of the SNF Feb 1, 2021
Boyde Jerome Harrison Individual Adp of the SNF Oct 1, 2013
Champion Partners in Rehab IX, LLC Organization, Gadsden, AL LLC Adp of the SNF Oct 1, 2013
Regina a Snow Individual Operational/Managerial Control Apr 17, 2023
Adp of the SNF Apr 17, 2023
Kelley Health Holdings, Inc Organization, Jasper, AL Corporation, Chain home office Operational/Managerial Control Oct 1, 2013
Adp of the SNF Jul 9, 2025
Alicia K Stewart Individual 5% Or Greater Direct Ownership InterestVice President Jul 20, 2015 20%
Corporate OfficerVice President 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 Individual Adp of the SNF Aug 11, 2022
Dewonica Samuels Individual Operational/Managerial Control Oct 1, 2024
Adp of the SNF Oct 1, 2024
Ridgewood Health Care, Inc. Organization, Jasper, AL Corporation 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.

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.

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

Verify at the official NPI Registry.