Ridgewood Estates LLC – Assisted Living Facility

Key facts

NPI: 1619944063
Entity type: Organization (NPI type 2)
Primary specialty: Assisted Living Facility 310400000X
License: 134690000 (ME)
Legal business name: RIDGEWOOD ESTATES LLC
Practice address: 480 Ridgeview Ave
Madawaska, ME 04756-1649
Phone: (207) 728-6324
NPI assigned: Mar 3, 2006
Organization subpart: No

Authorized official

Name: Jacqueline Roy
Title: President
Phone: (207) 628-6324

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Silwana Sidorczuk, MD Family Medicine Physician · Madawaska, ME · NPI 1033327846

NPD (past)

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
20D2245187	Ridgewood Estates 480 Ridgeview Ave, Madawaska, ME 04756	Certificate of waiver	Dec 8, 2027

National Provider Directory

Locations

480 Ridgeview Ave
Madawaska, ME 04756
Phone (207) 728-6324

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Assisted Living Facility	310400000X	134690000	ME	Yes

Addresses

Primary practice location

480 Ridgeview Ave
Madawaska, ME 04756-1649

Mailing address

480 Ridgeview Ave
Madawaska, ME 04756-1649
Phone (207) 728-6324

Other providers in Madawaska, ME

All providers in Madawaska, ME · Assisted Living Facility in Maine

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Care Compare provider data (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.