Organization Active NPI

Ridge Care Inc

Doing business as Mebane Ridge Assisted Living

  • Adult Care Home Facility
  • Mebane, NC
National Provider Identifier
1558860858
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
HAL-001-159 Issued in NC
Legal business name
RIDGE CARE INC
Practice address
1999 South Highway 119 S
Mebane, NC 27302
Phone
(336) 993-7555
NPI assigned
Feb 2, 2018
Last updated
Apr 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Cindy Neagle
Title
VP Finance
Phone
(336) 993-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X HAL-001-159 NC Primary

Addresses

Primary practice location

1999 South Highway 119 S
Mebane, NC 27302

Mailing address

853 Old Winston Rd Ste 118
Kernersville, NC 27284-8781
Phone (336) 993-7555

Other names 1

  • Mebane Ridge Assisted Living Other name

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
34D2149457Mebane Ridge Assisted Living1999 Highway 119 South, Mebane, NC 27302Certificate of waiverJun 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Deerfield Ridge Assisted Living4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1999 S NC Highway 119
Mebane, NC 27302
Phone (919) 568-0083

NPI Registry JSON

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

{
    "created_epoch": "1517529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1558860858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 OLD WINSTON RD STE 118",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848781",
            "telephone_number": "336-993-7555",
            "fax_number": "336-993-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 SOUTH HIGHWAY 119 S",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "27302",
            "telephone_number": "336-993-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-02",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "NEAGLE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "336-993-7555"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "HAL-001-159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mebane Ridge Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mebane Ridge Assisted Living",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Mebane Ridge Assisted Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mebane, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.