Ridgeview Drive Ranch, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

RIDGEVIEW DRIVE RANCH, LLC

Practice address

741 W Woodbury Rd
Altadena, CA 91001

Phone

(800) 296-1868

NPI assigned

Jan 22, 2013

Organization subpart

No

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

Authorized official

Name

Larry Thornton

Title

Authorized Official

Phone

(626) 482-3478

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Ridgeview Drive Ranch LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Ridgeview Drive Ranch, LLC

  • Substance Abuse Rehabilitation Facility
  • Altadena, CA
  • NPI 1669825535
  NPD tax ID
• Ridgeview Drive Ranch, LLC

  • Substance Abuse Rehabilitation Facility
  • Altadena, CA
  • NPI 1841435179
  NPD tax ID

Locations

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1124366406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 RIDGEVIEW DR",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014527",
            "telephone_number": "800-296-1868",
            "fax_number": "310-836-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 W WOODBURY RD",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "91001",
            "telephone_number": "800-296-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEVIEW DRIVE RANCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "626-482-3478"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHCS",
            "identifier": "190627GP",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alonzo Richardson
• Karen Denise Richardson, L.C.S.W.
• Rashad Jamal Richardson
• Robert Lewis Richardson
• Sarah Richardson
• Ridgeview Drive Ranch, LLC
• Ridgeview Drive Ranch, LLC
• Rosa M Rincon
• Miguel A Rivera, LVN
• Carmelina L. Rivero, LVN

• Substance Use Disorder Rehabilitation Clinic/Center in Altadena, CA
• Providers in Altadena, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.