Ridge Pointe Supportive Living

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

RIDGE POINTE SUPPORTIVE LIVING

Practice address

107 County Road 2520
Athens, TN 37303-6925

Phone

(423) 920-5298

NPI assigned

Nov 18, 2020

Organization subpart

No

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

Authorized official

Name

Rashanae Arnwine

Title

Director

Phone

(423) 920-5298

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605657600000",
    "number": "1508469883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PARK ST",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373034255",
            "telephone_number": "423-920-5298",
            "fax_number": "423-453-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 COUNTY ROAD 2520",
            "city": "ATHENS",
            "state": "TN",
            "postal_code": "373036925",
            "telephone_number": "423-920-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE POINTE SUPPORTIVE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A",
        "authorized_official_last_name": "ARNWINE",
        "authorized_official_first_name": "RASHANAE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "423-920-5298"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q053603",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Cardenas Reyes-Perez, PT
• Mary Kaitlyn Richesin, COTA/L
• Natasha Alexia Richesin, PA-C
• Riddle and Wallace Drug
• Ridge Pointe Mental Health Center
• Jack Coogan Ritchie Jr., RPH
• Cheryl Ann Roberts, FNP
• Sarah Elizabeth Roberts, DPT
• Javier Rodriguez
• Lauretta Elizabeth Rogers

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Athens, TN
• Providers in Athens, TN by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.