Summerville at Ridgewood Gardens LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

WLO-08-1103828 Issued in VA

Legal business name

SUMMERVILLE AT RIDGEWOOD GARDENS LLC

Doing business as

Summerville at Ridgewood Gardens

Practice address

2001 Ridgewood Dr
Salem, VA 24153-7126

Phone

(540) 387-4945

Fax

(540) 387-4947

NPI assigned

Nov 12, 2009

Organization subpart

Yes

Parent organization

SENIOR LIVING PROPERTIES LLCAs reported in NPPES

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

Authorized official

Name

Noelle Diaz Bickel

Title

Licensing Specialist

Phone

(206) 298-2909

Specialties & licenses 1

Addresses

Other names 1

• Summerville at Ridgewood Gardens Doing business as

Part of

Summerville at St Augustine LLC

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1629305503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELLIOTT AVE",
            "address_2": "SUITE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211044",
            "telephone_number": "206-298-2909",
            "fax_number": "206-301-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 RIDGEWOOD DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537126",
            "telephone_number": "540-387-4945",
            "fax_number": "540-387-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERVILLE AT RIDGEWOOD GARDENS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENIOR LIVING PROPERTIES LLC",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "BICKEL",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_middle_name": "DIAZ",
        "authorized_official_title_or_position": "LICENSING SPECIALIST",
        "authorized_official_telephone_number": "206-298-2909"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "WLO-08-1103828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summerville at Ridgewood Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allyson June Sudduth, PHARMD
• Kyle Sugonis, RN
• Kristy Leigh Suhr, RD
• Hannah Sulik, PHARMD
• Daniel C. Summerlin Jr., M. D.
• Ashley E Supanich, PT
• Superior Bath Systems
• Logan Bailee Surface, PHARMD
• Azra Naheed Surhio, LCSW
• Mary Beth Sutphin

• Assisted Living Facility in Salem, VA
• Providers in Salem, VA by specialty
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.