Ridgecrest NH, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1475096 Issued in FL

Legal business name

RIDGECREST NH, LLC

Practice address

1200 N Stone St
Deland, FL 32720-2511

Phone

(386) 734-4334

Fax

(386) 736-2118

NPI assigned

Jun 20, 2005

Organization subpart

No

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

Authorized official

Name

Moshe Scheiner

Title

Ceo

Phone

(813) 557-6200

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ridgecrest Nursing and Rehabilitation Center Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624752000000",
    "number": "1477558039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STONE ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202511",
            "telephone_number": "386-734-4334",
            "fax_number": "386-736-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STONE ST",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202511",
            "telephone_number": "386-734-4334",
            "fax_number": "386-736-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGECREST NH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-27",
        "status": "A",
        "authorized_official_last_name": "SCHEINER",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-557-6200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1475096",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0282464-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgecrest Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ridgecrest Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia A Richeson, LCSW
• Lisa Rickman
• Karina Ann Ricko, LCSW
• Ride to Care Transit LLC
• Ridge Surgical Services LLC
• Ridgecrest Nursing and Rehab LLC
• Daniel L. Riegle, MAT ATC
• Kathrine N Rigney, FNP
• Elizabeth Rivera, MD
• Rosario Michael Rizzo Jr., LPN

• Skilled Nursing Facility in Deland, FL
• Providers in Deland, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.