Ridgeline Homecare Cooperative

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

RIDGELINE HOMECARE COOPERATIVE

Practice address

332 E 5TH St
Port Angeles, WA 98362-3207

Phone

(360) 504-3837

NPI assigned

Jan 15, 2024

Last updated

Jan 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alicia Campion

Title

Admin

Phone

(360) 504-3837

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1609647924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2623",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983620330",
            "telephone_number": "360-504-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 E 5TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623207",
            "telephone_number": "360-504-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGELINE HOMECARE COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "CAMPION",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "360-504-3837"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talitha Richards, RN
• Mardell C Richmond, ARNP
• Tyrsa Jean Rickards
• Eilene Laree Rickenbacher, SUDPT
• John Rickenbacher, LMHCA
• Lindsay Rieker, MA60069647
• Dayna Ann Rietze, RDH
• Lon W Riggs, DDS
• Abel L Riojas, DMD
• Jodi Ellen Riverstone, RN, LMP

• In Home Supportive Care Agency in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• In Home Supportive Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.