Ridgewood Personal Care Home, Inc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

RIDGEWOOD PERSONAL CARE HOME, INC

Practice address

1065 Murray Cir SW
Marietta, GA 30064-3927

Phone

(770) 590-7297

Fax

(770) 590-7297

NPI assigned

Sep 24, 2012

Organization subpart

Yes

Parent organization

RIDGEWOOD PERSONAL CARE HOME, INCAs reported in NPPES

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

Authorized official

Name

Mr. Kingsley OgbuaguNPI 1437017746

Title

Owner

Phone

(678) 471-4065

Specialties & licenses 1

Addresses

Other names 1

• RIDGEWOOD CLA Doing business as

Part of

Ridgewood Personal Care Home Inc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kingsley Ogbuagu

  • Nursing Care Agency
  • Acworth, GA
  • NPI 1437017746
  NPD Authorized official

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1356692800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 MURRAY CIR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643927",
            "telephone_number": "770-590-7297",
            "fax_number": "770-590-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 MURRAY CIR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643927",
            "telephone_number": "770-590-7297",
            "fax_number": "770-590-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWOOD PERSONAL CARE HOME, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIDGEWOOD PERSONAL CARE HOME, INC",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "OGBUAGU",
        "authorized_official_first_name": "KINGSLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-471-4065",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIDGEWOOD CLA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara P. Riddle, NP-C
• David J Riden, MD
• Ridgeline Counseling LLC
• Kirsten Charlotte Ridgely, ANP
• Shelby Ridgely
• Jennifer Riemersma, MA, LPC
• Asma Rifay
• Laura Beth Rifkin, LCSW,CEAP
• Megan Rigas, MS
• Rigel Connect, LLC

• Developmental Disabilities Clinic/Center in Marietta, GA
• Providers in Marietta, GA by specialty
• Developmental Disabilities Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.