NPIMap

Organization Active NPI

Ridgewood Healthcare LLC

  • Skilled Nursing Facility
  • Washington, NC
National Provider Identifier
1306293170
Registry record updated May 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RIDGEWOOD HEALTHCARE LLC
Practice address
1624 Highland Dr
Washington, NC 27889-8761
Phone
(252) 946-9570
Fax
(252) 946-3715
NPI assigned
May 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2016

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

Authorized official

Name
Mr. Jacob S. Stern
Title
Manager
Phone
(732) 659-1353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1624 Highland Dr
Washington, NC 27889-8761

Mailing address

100 Route 70 Ste 3
Lakewood, NJ 08701-7406
Phone (732) 659-1353

Other names 1

  • Ridgewood Living and Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160826002202 NC Part A Provider - Skilled Nursing Facility 5597050799 Practice locations: Washington, NC

Skilled nursing facility certification: CCN 345228

Legal name
RIDGEWOOD HEALTHCARE LLC
Doing business as
RIDGEWOOD LIVING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 23, 1982
Last certification
Jun 12, 2024
Beds
150 (128 certified)
Ownership / control type
Corporation
Multi-facility organization
CCH Healthcare
Organization structure
CorporationProprietary
Incorporated
Feb 24, 2016 in DE
Enrollment address
1624 Highland Drive
Washington, NC 27889
Nursing home name
RIDGEWOOD LIVING & REHABILITATION CENTER
Affiliated entity
CCH HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ridgewood Living & Rehabilitation CenterCCN 345228
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Nov 23, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
128113.8 residents per day on average
Chain
CCH Healthcare33 facilities in the chain
Penalties (3 years)
1Fines totaling $10,868

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Ridgewood Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
NCNH Propco Holding LLC Organization, Jackson, NJ LLC Adp of the SNF Jun 1, 2016
Ridgewood Propco LLC Organization, Jackson, NJ LLC Adp of the SNF Jun 1, 2016
David D Lewis Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Lisa Hartley Individual Operational/Managerial ControlAdministrator Jan 1, 2020
Adp of the SNF Jan 1, 2020
CCH Healthcare LLC Organization, Lakewood, NJ LLC, Management services company Operational/Managerial Control Jun 1, 2016
Adp of the SNF Mar 11, 2026
Starlight Healthcare LLC Organization, Jackson, NJ LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jun 1, 2016 36%
Adp of the SNF Jun 1, 2016
Direct Ownership Interest Jun 1, 2016 1.5%
10-26 Nationwide TR Organization, Lakewood, NJ 5% Or Greater Indirect Ownership Interest Jun 1, 2016 36%
Adp of the SNF Jun 1, 2016
Direct Ownership Interest Jun 1, 2016 1.5%
NCNH Holdings LLC Organization, Jackson, NJ LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 1, 2016 96%
Forbright Bank Organization, Bethesda, MD Financial institution, For-profit 5% Or Greater Security Interest Jun 1, 2016
Adp of the SNF Mar 11, 2026
Jacob Stern Individual Operational/Managerial ControlManager Jan 1, 2020 100%
Managing Control - Governing BodyChairman of the Board Jun 1, 2016
Adp of the SNF Jan 1, 2020
NCNH J-Dek LLC Organization, Solon, OH LLC 5% Or Greater Indirect Ownership Interest Jun 1, 2016 24%
Adp of the SNF Jun 1, 2016
Direct Ownership Interest Jun 1, 2016 1%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 54

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

View all 54

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1306293170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ROUTE 70 STE 3",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017406",
            "telephone_number": "732-659-1353",
            "fax_number": "866-306-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 HIGHLAND DR",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278898761",
            "telephone_number": "252-946-9570",
            "fax_number": "252-946-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWOOD HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-659-1353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgewood Living and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, NC

Sources for this page

Verify at the official NPI Registry.