Active NPI
Kennebunk Operations, LLC
- Skilled Nursing Facility
- Kennebunk, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1906
- Legal business name
- KENNEBUNK OPERATIONS, LLC
- Practice address
- 3 Brazier Lane
Kennebunk, ME 04043-6924 - Phone
- (207) 985-3030
- Fax
- (207) 985-6428
- NPI assigned
- Dec 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael T Berg
- Title
- Assistant Secretary
- Phone
- (505) 468-4742
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1906 | ME | Primary |
Addresses
Primary practice location
3 Brazier Lane
Kennebunk, ME 04043-6924
Mailing address
101 E State St
Kennett Square, PA 19348-3109
Phone (610) 925-4436
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432469801 | Medicaid | ME | |
| 432469900 | Medicaid | ME | |
| 432469800 | Medicaid | ME |
Other names 1
- RiverRidge Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070104000241 | ME | Part A Provider - Skilled Nursing Facility | 2860492436 | Practice locations: Kennebunk, ME |
Skilled nursing facility certification: CCN 205065
- Legal name
- KENNEBUNK OPERATIONS, LLC
- Doing business as
- RIVER RIDGE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Feb 4, 1991
- Last certification
- Aug 17, 2022
- Beds
- 62
- Ownership / control type
- Corporation
- Multi-facility organization
- Genesis HealthCare
- Organization structure
- LLC
- Incorporated
- Sep 19, 2006 in ME
- Enrollment address
- 3 Brazier Lane
Riverridge Center
Kennebunk, ME 04043-6924 - Nursing home name
- RIVER RIDGE CENTER
- Affiliated entity
- GENESIS HEALTHCARE
Care Compare: Nursing home
Medicare Care Compare- Listed as
- River Ridge Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Feb 4, 1991
- Medicare certification status
- Active
- Certified beds
- 62
- Chain
- Genesis Healthcare
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 1
National Provider Directory
National Provider Directory- Tax ID family
- Kennebunk Operations LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Kennebunk, ME
- NPI 1184052359
-
- Assisted Living Facility
- Kennebunk, ME
- NPI 1538222914
Ownership & related parties
All disclosed owners & managing parties 24
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Laura Bridgeford | Corporate Officer | Jun 1, 2024 | |
| HCCF Management Group XI LLC | 5% Or Greater Indirect Ownership Interest | Nov 15, 2022 | 10.8% |
| Gen Operations I LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Gen Operations II LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Diane Louise Morris | Operational/Managerial Control | Dec 23, 2023 | |
| Adp of the SNF | Dec 27, 2023 | ||
| Genesis Healthcare of Maine LLC | 5% Or Greater Direct Ownership Interest | Apr 23, 2012 | 100% |
| FC-Gen Operations Investment LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Sundance Rehabilitation Holdco Inc | 5% Or Greater Indirect Ownership Interest | Feb 1, 2015 | 5.2% |
| Genesis Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Sun Healthcare Group Inc | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 65.3% |
| Stephen H Doane | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 4, 2025 | ||
| Welltower Op, LLC | 5% Or Greater Indirect Ownership Interest | Mar 1, 2024 | 5.7% |
| Adp of the SNF | Mar 4, 2025 | ||
| Arnold M Whitman | 5% Or Greater Indirect Ownership Interest | Mar 1, 2015 | 10.8% |
| Genesis Healthcare Inc | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
| Zac Properties XI LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 7.6% |
| Steven E Fishman | 5% Or Greater Indirect Ownership Interest | Mar 1, 2015 | 7.6% |
| Tara Rollins | Operational/Managerial Control | Mar 1, 2024 | |
| Adp of the SNF | Mar 4, 2025 | ||
| Avi Pinchas Mendelson | Corporate Officer | Jun 1, 2024 | |
| Michael T Berg | Corporate Officer | Mar 2, 2015 | |
| Adp of the SNF | Mar 4, 2025 | ||
| Adp of the SNF | Apr 7, 2025 | ||
| GHC Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 1, 2012 | 100% |
| Genesis Holdings LLC | 5% Or Greater Indirect Ownership Interest | Feb 2, 2015 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Biddeford, ME
- NPI 1326001264
Adp of the SNF, Operational/Managerial Control
Facilities with the same owner 178
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Skilled Nursing Facility
- Belfast, ME
- NPI 1659433167
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Healthcare of Maine LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare G
-
- Skilled Nursing Facility
- Camden, ME
- NPI 1346302635
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Healthcare of Maine LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare G
-
- Skilled Nursing Facility
- Falmouth, ME
- NPI 1447312707
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Healthcare of Maine LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare G
-
- Skilled Nursing Facility
- Farmington, ME
- NPI 1881756120
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Healthcare of Maine LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare G
-
- Skilled Nursing Facility
- Lewiston, ME
- NPI 1700948122
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Healthcare of Maine LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare G
-
- Skilled Nursing Facility
- Orono, ME
- NPI 1780746131
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Healthcare of Maine LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare G
-
- Skilled Nursing Facility
- Scarborough, ME
- NPI 1912069386
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Healthcare of Maine LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare G
-
- Skilled Nursing Facility
- Skowhegan, ME
- NPI 1194887687
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Healthcare of Maine LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare G
-
- Skilled Nursing Facility
- Waterville, ME
- NPI 1760544100
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Healthcare of Maine LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare G
-
- Skilled Nursing Facility
- Westbrook, ME
- NPI 1588726855
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Healthcare of Maine LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare G
-
- Skilled Nursing Facility
- Marmet, WV
- NPI 1538343710
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
-
- Skilled Nursing Facility
- Lancaster, PA
- NPI 1467162172
FC-Gen Operations Investment LLC, Gen Operations I LLC, Gen Operations II LLC, Genesis Healthcare Inc, Genesis Healthcare LLC, Genesis Holdings LLC, GHC Holdings LLC, HCCF Management Group XI LLC, Sun Healthcare Group Inc, Sundance Rehabilitation
Practitioners & affiliated clinicians
Practitioners 22
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Kennebunk, ME
- NPI 1982725784
-
- Physical Medicine & Rehabilitation Physician
- Westbrook, ME
- NPI 1770530404
-
- Speech-Language Pathologist
- Kennebunk, ME
- NPI 1972721074
-
- Speech-Language Pathologist
- Kennebunk, ME
- NPI 1053584433
-
- Physical Therapist
- Kennebunk, ME
- NPI 1205953486
-
- Occupational Therapist
- Kennebunk, ME
- NPI 1609089911
-
- Occupational Therapist
- Kennebunk, ME
- NPI 1437277878
-
- Psychiatry Physician
- Portland, ME
- NPI 1831138874
-
- Occupational Therapist
- Kennebunk, ME
- NPI 1376728311
-
- Internal Medicine Physician
- Skowhegan, ME
- NPI 1467479022
-
- Speech-Language Pathologist
- Kennebunk, ME
- NPI 1104946292
-
- Family Nurse Practitioner
- Biloxi, MS
- NPI 1518235142
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705881600000",
"number": "1508928995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E STATE ST",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "193483109",
"telephone_number": "610-925-4436",
"fax_number": "610-925-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BRAZIER LANE",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040436924",
"telephone_number": "207-985-3030",
"fax_number": "207-985-6428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENNEBUNK OPERATIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "505-468-4742"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "ME",
"license": "1906",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432469801",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432469900",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432469800",
"state": "ME"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RiverRidge Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Kennebunk, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.