Organization Active NPI

RV Behavioral, LLC

Doing business as Ridgeview Institue Smyrna

  • Psychiatric Hospital
  • Smyrna, GA
National Provider Identifier
1427508761
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
RV BEHAVIORAL, LLC
Doing business as
Ridgeview Institue Smyrna
Practice address
3995 S. Cobb Drive
Smyrna, GA 30080
Phone
(770) 434-4567
Fax
(770) 431-7040
NPI assigned
Oct 11, 2016
Last updated
Jun 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Richard A Kresch, M.D.
Title
Manager
Phone
(212) 243-5565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

3995 S. Cobb Drive
Smyrna, GA 30080

Mailing address

3995 S. Cobb Drive
Smyrna, GA 30080
Phone (770) 434-4567

Other names 1

  • Ridgeview Institue Smyrna Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170213001340 GA Part B Supplier - Clinic/Group Practice 3476836701 Receives reassigned benefits from 3 practitioners
Practice locations: Smyrna, GA
O20170224000574 GA Part A Provider - Hospital 3476836701 Practice locations: Smyrna, GA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427508761. Details of each certification follow.

Hospital certification: CCN 114012

Legal name
RV BEHAVIORAL, LLC
Doing business as
RIDGEVIEW INSTITUTE
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Nov 1, 1976
Last certification
Aug 16, 2024
Beds
148
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Aug 1, 2016 in DE
Enrollment address
3995 S Cobb Dr SE
Smyrna, GA 30080-6342
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Ridgeview InstituteCCN 114012 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0975959RV Behavioral, LLC3995 South Cobb Drive, Smyrna, GA 30080Certificate of waiverJul 20, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
F-Prime Capital Partners HC Cambridge Fund III LP Organization, Cambridge, MA 5% Or Greater Indirect Ownership Interest Jan 5, 2017 9.9%
US Healthvest, LLC Organization, New York, NY For-profit 5% Or Greater Direct Ownership Interest Jan 5, 2017 100%
Richard a Kresch Individual 5% Or Greater Indirect Ownership Interest Jan 5, 2017 13.6%
Corporate OfficerManager Jan 5, 2017
Corporate DirectorBoard Member Jan 5, 2017
W-2 Managing EmployeeManager Feb 28, 2023
James Cha Individual Corporate DirectorBoard Member Jan 5, 2017
Oak HC/Ft Ushv Blocker Corp Organization, Greenwich, CT For-profit 5% Or Greater Indirect Ownership Interest Jan 5, 2017 9.1%
PP VII US Healthvest Inc Organization, Boston, MA For-profit 5% Or Greater Indirect Ownership Interest Jan 5, 2017 5.6%
PVP US Healthvest, Inc Organization, Boston, MA For-profit 5% Or Greater Indirect Ownership Interest Jan 5, 2017 28.4%
F-Prime Capital Partners HC International Fund III LP Organization, Cambridge, MA 5% Or Greater Indirect Ownership Interest Jan 5, 2017 5.3%

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1427508761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3995 S. COBB DRIVE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "770-434-4567",
            "fax_number": "770-431-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3995 S. COBB DRIVE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "770-434-4567",
            "fax_number": "770-431-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RV BEHAVIORAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "KRESCH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-243-5565",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgeview Institue Smyrna",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.