Chris Ridge Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CHRIS RIDGE SENIOR LIVING, LLC

Practice address

6250 N 19TH Ave
Phoenix, AZ 85015-1565

Phone

(602) 433-6300

NPI assigned

Apr 22, 2007

Organization subpart

No

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

Authorized official

Name

Jon Harder

Title

Medicaid Coordinator

Phone

(503) 485-4600

Specialties & licenses 1

Addresses

Other names 1

• Chris Ridge Doing business as

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295953701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 FAIRVIEW INDUSTRIAL DR SE",
            "address_2": "SUITE 270",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021177",
            "telephone_number": "503-485-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151565",
            "telephone_number": "602-433-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS RIDGE SENIOR LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "MEDICAID COORDINATOR",
        "authorized_official_telephone_number": "503-485-4600"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chris Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Swaranjit S Chowhan, PHARM.D.
• Cynthia Choy, M.D.
• CHP Care, PC
• Brooke Chramosta
• Chris J. Woolaver DDS MSC PC
• Chris Ridge Village Health Care Center
• Chris Simopoulos LLC
• Christina Chrisman, M.D.
• Kimberly Jae Chrisman, PA-C
• Nicole Chrisman

• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.