NPIMap

Organization Active NPI

Ridge Care Management, Inc.

  • Adult Care Home Facility
  • Walnut Cove, NC
National Provider Identifier
1265992655
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
RIDGE CARE MANAGEMENT, INC.
Practice address
411 Windmill St
Walnut Cove, NC 27052-7705
Phone
(336) 591-7790
Fax
(336) 591-8177
NPI assigned
Mar 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Authorized official

Name
Cynthia Ann Neagle
Title
VP Finance
Phone
(336) 993-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

411 Windmill St
Walnut Cove, NC 27052-7705

Mailing address

853 Old Winston Rd Ste 118
Kernersville, NC 27284-8781
Phone (336) 993-7555

Other names 1

  • Walnut Ridge Assisted Living Other name

National Provider Directory

National Provider Directory
Tax ID family
Forest Ridge Assisted Living4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1265992655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 OLD WINSTON RD STE 118",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848781",
            "telephone_number": "336-993-7555",
            "fax_number": "336-993-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 WINDMILL ST",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270527705",
            "telephone_number": "336-591-7790",
            "fax_number": "336-591-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE CARE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "NEAGLE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "336-993-7555"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walnut Ridge Assisted Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Walnut Cove, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.