Ridge View Manor LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1401336N Issued in NY

Legal business name

RIDGE VIEW MANOR LLC

Practice address

300 Dorrance Ave
Buffalo, NY 14220-2704

Phone

(716) 825-4984

NPI assigned

Sep 17, 2006

Organization subpart

No

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

Authorized official

Name

David G Rosner

Title

Cfo

Phone

(716) 633-2961

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1255438966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 S UNION RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 DORRANCE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142202704",
            "telephone_number": "716-825-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE VIEW MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "ROSNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "716-633-2961"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1401336N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00801809",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Owen Alberto Richter, LCSW
• Taylor Rick, MD
• Lindsey Rickard
• Kristin Durgin Rickert, LMSW
• Lori Ricupito
• Cartelia Ridgeway
• Laquitta Nicole Ridgeway
• Mennie Yvette Ridgeway
• Jenifer Ridler, NP
• Samantha Ridolfi

• Skilled Nursing Facility in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.