Preferred Health Holdings II LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

10670 Issued in AL

Legal business name

PREFERRED HEALTH HOLDINGS II LLC

Doing business as

Ridgewood Health Care Center

Practice address

201 Oak Hill Rd
Jasper, AL 35501-7496

Phone

(205) 221-4862

NPI assigned

Sep 29, 2005

Last updated

Aug 12, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

PREFERRED HEALTH HOLDINGS IIAs reported in NPPES

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

Authorized official

Name

Kathy Smothers

Title

Administrator

Phone

(205) 221-4862

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RIDGEWOOD HEALTH CARE CENTER Doing business as

Part of

Preferred Health Holdings II LLC

Locations

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1386631968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 OAK HILL RD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355017496",
            "telephone_number": "205-221-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 OAK HILL RD",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355017496",
            "telephone_number": "205-221-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED HEALTH HOLDINGS II LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREFERRED HEALTH HOLDINGS II",
        "enumeration_date": "2005-09-29",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "SMOTHERS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "205-221-4862"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "10670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4755010S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIDGEWOOD HEALTH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Jasper, AL
• Providers in Jasper, AL by specialty
• Skilled Nursing Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.