Ridgecrest Healthcare Group Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0517N Issued in OH

Legal business name

RIDGECREST HEALTHCARE GROUP INC.

Doing business as

White Oak Manor

Practice address

1926 Ridge Ave SE
Warren, OH 44484-2821

Phone

(330) 369-4672

Fax

(330) 369-2367

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

William I Weisberg

Title

Its VP

Phone

(216) 292-5706

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• White Oak Manor Doing business as

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427169564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 RIDGE AVE SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842821",
            "telephone_number": "330-369-4672",
            "fax_number": "330-369-2367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 RIDGE AVE SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842821",
            "telephone_number": "330-369-4672",
            "fax_number": "330-369-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGECREST HEALTHCARE GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEISBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ITS VP",
        "authorized_official_telephone_number": "216-292-5706"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "0517N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2557282",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Oak Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Lynn Richards, OD
• Brittany Richardson
• Mary Rickard, CDCA
• Stephanie Ricket, LPN
• Carlos A Ricotti, MD
• Charitey Riggs, CDCA
• Rayna Rintala
• Gerald Edward Rishel, A.T.,C.
• Rite Aid Corporation
• Rite Aid of Ohio Inc

• Skilled Nursing Facility in Warren, OH
• Providers in Warren, OH by specialty
• Skilled Nursing Facility in Ohio

• 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.