Cardinal Ridge Residential Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CARDINAL RIDGE RESIDENTIAL CARE

Practice address

817 Circle Ridge PL
Sturgeon Bay, WI 54235-3621

Phone

(920) 743-9289

Fax

(920) 743-4445

NPI assigned

Feb 20, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Kristen Cecilia Kennedydart

Title

Director

Phone

(920) 743-9289

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1295904548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 CIRCLE RIDGE PL",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353621",
            "telephone_number": "920-743-9289",
            "fax_number": "920-743-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 CIRCLE RIDGE PL",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353621",
            "telephone_number": "920-743-9289",
            "fax_number": "920-743-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL RIDGE RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "KENNEDYDART",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "CECILIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "920-743-9289",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Brunette, APNP
• Michael S Bruno, MD
• Margaret Buhk, BA/BS
• Bradley Gerard Burkart, DPM
• Anna Christina Calhoun
• Kirsten Lisa Carlson, LPC
• Pamela Carpenter
• Tanapong Chairin, R.PH
• Cherryland Chiropractic and Rehabilitation, LLC
• Danielle Clark, H.I.S.

• Assisted Living Facility in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.