Ridge Area Arc Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

RIDGE AREA ARC INC

Doing business as

Ridge Area Arc, Inc.

Practice address

4352 Independence St
Avon Park, FL 33825-9300

Phone

(863) 452-1295

Fax

(863) 452-5244

NPI assigned

Jul 30, 2006

Last updated

Sep 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen Shannon Border

Title

Chief Executive Officer

Phone

(863) 452-1295

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ridge Area Arc, Inc. Doing business as

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1194730986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4352 INDEPENDENCE ST",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259300",
            "telephone_number": "863-452-1295",
            "fax_number": "863-452-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4352 INDEPENDENCE ST",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338259300",
            "telephone_number": "863-452-1295",
            "fax_number": "863-452-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE AREA ARC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "BORDER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "SHANNON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "863-452-1295"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024659098",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024659096",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridge Area Arc, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Ann Renner, RD
• Megan Elizabeth Renz, LMHC
• Jennifer Revels, MD
• Reynaldo L Descalso MD PA
• Richard M. a. Wood DMD, PA
• Cristina Marie Rivera
• Jose Augusto Rivera, PH.D., M.A.
• Brittani Rochelle Robinson
• Elena Rodriguez Hernandez
• Lismaby Rodriguez

• Developmentally Disabled Services Day Training Agency in Avon Park, FL
• Providers in Avon Park, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.