Active NPI
Ridgeview Healthcare Operating LLC
Doing business as Ridgeview Healthcare and Rehabilitation Center
- Skilled Nursing Facility
- Curwensville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- RIDGEVIEW HEALTHCARE OPERATING LLC
- Doing business as
- Ridgeview Healthcare and Rehabilitation Center
- Practice address
- 30 4TH Ave
Curwensville, PA 16833-1070 - Phone
- (814) 236-0600
- NPI assigned
- May 27, 2022
- 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
- Mike Zidele
- Title
- Member
- Phone
- (716) 374-2526
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
30 4TH Ave
Curwensville, PA 16833-1070
Mailing address
30 4TH Ave
Curwensville, PA 16833-1070
Other names 1
- Ridgeview Healthcare and Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221017002851 | PA | Part A Provider - Skilled Nursing Facility | 0345616389 | Practice locations: Curwensville, PA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1609514710. Details of each certification follow.
Skilled nursing facility certification: CCN 395652
- Legal name
- RIDGEVIEW HEALTHCARE OPERATING, LLC
- Doing business as
- RIDGEVIEW HEALTHCARE AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- May 7, 1984
- Last certification
- Oct 24, 2024
- Beds
- 131
- Ownership / control type
- Corporation
- Multi-facility organization
- Bonamour Health Group
- Organization structure
- LLC
- Incorporated
- May 13, 2022 in DE
- Enrollment address
- 30 4TH Ave
Curwensville, PA 16833-1070 - Nursing home name
- AVA NURSING AND REHAB CENTER
- Affiliated entity
- BONAMOUR HEALTH GROUP
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Ava Nursing and Rehab Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- May 7, 1984
- Medicare certification status
- Active
- Certified beds
- 131
- Chain
- Bonamour Health Group
- Penalties (3 years)
- 1
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Yeshayahu Zidele | 5% Or Greater Direct Ownership Interest | Jun 28, 2022 | 50% |
| Adp of the SNF | Jun 28, 2022 | ||
| Indirect Ownership Interest | Jun 28, 2022 | ||
| Bonamour Health Group LLC | Adp of the SNF | Jun 28, 2022 | |
| Benjamin Ruggles | Operational/Managerial Control | Jun 2, 2023 | |
| Adp of the SNF | Jun 2, 2023 | ||
| Brandon M Roscoe | Adp of the SNF | Jun 28, 2022 | |
| Mordechai Zidele | 5% Or Greater Direct Ownership Interest | Jun 28, 2022 | 50% |
| Operational/Managerial Control | Jun 28, 2022 | ||
| Adp of the SNF | Jun 28, 2022 | ||
| Direct Ownership Interest | Jun 28, 2022 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Clearfield, PA
- NPI 1174538821
-
- Family Medicine Physician
- Du Bois, PA
- NPI 1639394034
Affiliated clinicians 1
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": "1653609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721692800000",
"number": "1609514710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 4TH AVE",
"city": "CURWENSVILLE",
"state": "PA",
"postal_code": "168331070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 4TH AVE",
"city": "CURWENSVILLE",
"state": "PA",
"postal_code": "168331070",
"telephone_number": "814-236-0600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIDGEVIEW HEALTHCARE OPERATING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-27",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A",
"authorized_official_last_name": "ZIDELE",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "716-374-2526"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ridgeview Healthcare and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Ridgeview Healthcare and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Curwensville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.