Ridgecrest Health & Rehab, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

727 Issued in AR

Legal business name

RIDGECREST HEALTH & REHAB, LLC

Practice address

1005 McLain St
Newport, AR 72112-3529

Phone

(870) 523-4333

Fax

(870) 523-4341

NPI assigned

May 19, 2006

Last updated

Aug 22, 2020By 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

Mr. Rick D Sampson

Title

Agent

Phone

(870) 523-4333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225082803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 N CHURCH ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724018309",
            "telephone_number": "870-932-3271",
            "fax_number": "870-932-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 MCLAIN ST",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123529",
            "telephone_number": "870-523-4333",
            "fax_number": "870-523-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGECREST HEALTH & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "870-523-4333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph a Teed DDS,PA
• Samantha Robin Ramsey, LCSW
• Temeka Ramsey, LMSW
• William Richards, CMP
• Cary Richardson, MHPP
• Jonathan C. Robertson, M.D.
• Claud Robinson
• Virgincita Fuentes Rodriguez, M.D.
• Sharon Lynn Rogers, APN
• Ronald D Gore, DDS

• Skilled Nursing Facility in Newport, AR
• Providers in Newport, AR by specialty
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.