Ridgeview Health Services, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

12697 Issued in AL

Legal business name

RIDGEVIEW HEALTH SERVICES, INC.

Practice address

907 11TH St NE
Jasper, AL 35504-8821

Phone

(205) 221-9111

Fax

(205) 387-1912

NPI assigned

Sep 11, 2006

Last updated

Mar 28, 2012By 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

Mrs. Joette Kelley-Brown, LNHA

Title

Owner/Administrator

Phone

(205) 221-9111

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265536304. Details of each certification follow.

• CCN 015155 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 015155

Legal name

RIDGEVIEW HEALTH SERVICES, INC.

Doing business as

RIDGEVIEW HEALTH SERVICES INC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 1, 1977

Last certification

Sep 19, 2019

Beds

148

Ownership / control type

Individual

Organization structure

CorporationProprietary

Enrollment address

907 11TH St NE
Jasper, AL 35504-8821

Nursing home name

RIDGEVIEW HEALTH SERVICES, INC

Listed as

Ridgeview Health Services, IncCCN 015155 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Individual

Certified

Dec 1, 1977

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

148138.6 residents per day on average

Penalties (3 years)

1Fines totaling $8,788

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Boyde J Harrison, MD

  • Family Medicine Physician
  • Haleyville, AL
  • NPI 1619908571

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Ridgewood Health Services, Inc.

  • Skilled Nursing Facility
  • Jasper, AL
  • NPI 1023440153

  Kelley Health Holdings, Inc

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Boyde J Harrison, MD

  • Family Medicine Physician
  • Haleyville, AL
  • NPI 1619908571
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Boyde J Harrison, MD

  • Family Medicine Physician
  • Haleyville, AL
  • NPI 1619908571

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1265536304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 11TH ST NE",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355048821",
            "telephone_number": "205-221-9111",
            "fax_number": "205-387-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 11TH ST NE",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355048821",
            "telephone_number": "205-221-9111",
            "fax_number": "205-387-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEVIEW HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "KELLEY-BROWN",
        "authorized_official_first_name": "JOETTE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "205-221-9111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "12697",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "AL",
            "license": "N6401",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "010685",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRINGS PROVIDER NU",
            "identifier": "40232",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4753280S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Richardson, PHARM D
• Patrick Lee Rider
• Ridgewood Health Services, Inc.
• Reanna Rigsby, BSPS, MPH, PHARMD
• Carmen Maury Roberts, RPH
• Danielle Faith Roberts, ALC
• Mark D Roberts, MD

• Skilled Nursing Facility in Jasper, AL
• Providers in Jasper, AL by specialty
• Skilled Nursing Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.