Ridgecrest Ritirement Community

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL086010 Issued in NC

Legal business name

RIDGECREST RITIREMENT COMMUNITY

Practice address

Ridgecrest Retirement, LLC
1000 Ridgecrest LN.
Mount Airy, NC 27030

Phone

(336) 786-9100

Fax

(336) 786-2899

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Bondurant Vernon

Title

Administrator

Phone

(336) 786-9100

Specialties & licenses 1

Addresses

Tax ID family

Ridgecrest Retirement 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.

• Ridgecrest Retirement, LLC

  • Nursing Facility/Intermediate Care Facility
  • Mount Airy, NC
  • NPI 1982737326
  NPD tax ID

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1467585422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RIDGECREST RETIREMENT COMMUNITY",
            "address_2": "1000 RIDGECREST LANE",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "27041",
            "telephone_number": "336-786-9100",
            "fax_number": "336-786-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RIDGECREST RETIREMENT, LLC",
            "address_2": "1000 RIDGECREST LN.",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "27030",
            "telephone_number": "336-786-9100",
            "fax_number": "336-786-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGECREST RITIREMENT COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "VERNON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "BONDURANT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-786-9100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL086010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Reitzel, C.F.-SLP
• Carl Ray Rhoden, MD
• Richard Wayne Gilreath,DDS,PA
• Kimberly Riddle, PTA
• Ridgecrest Retirement, LLC
• Patricia A. Ridgeway, PHD
• Lawrence Chad Riggs, PHARM.D.
• Erin Michelle Ringley
• Ripley Drug Inc
• Andrew L Robertson, MD

• Assisted Living Facility in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.