R L Ringenberg Management, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4901001507 Issued in MI

Legal business name

R L RINGENBERG MANAGEMENT, LLC

Practice address

911 S 3Rd St
Niles, MI 49120-3414

Phone

(269) 684-4320

Fax

(269) 684-6744

NPI assigned

Oct 27, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Roger Lawrence Ringenberg

Title

Administrator

Phone

(269) 684-4320

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1235415894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 S 3RD ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491203414",
            "telephone_number": "269-684-4320",
            "fax_number": "269-684-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 S 3RD ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491203414",
            "telephone_number": "269-684-4320",
            "fax_number": "269-684-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R L RINGENBERG MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "RINGENBERG",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "269-684-4320",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "4901001507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235415894",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.