NPIMap

Organization Active NPI

Ridgeview Drive Ranch, LLC

  • Substance Abuse Rehabilitation Facility
  • Altadena, CA
National Provider Identifier
1669825535
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190627BP Issued in CA
Legal business name
RIDGEVIEW DRIVE RANCH, LLC
Practice address
3323 Marengo Ave
Altadena, CA 91001
Phone
(800) 296-1868
NPI assigned
Jul 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Larry Thornton
Title
Authorized Official
Phone
(626) 482-3478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 190627BP CA Primary

Addresses

Primary practice location

3323 Marengo Ave
Altadena, CA 91001

Mailing address

3085 Ridgeview Dr
Altadena, CA 91001-4527
Phone (800) 296-1868

National Provider Directory

National Provider Directory
Tax ID family
Ridgeview Drive Ranch LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1669825535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 RIDGEVIEW DR",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910014527",
            "telephone_number": "800-296-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3323 MARENGO AVE",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "91001",
            "telephone_number": "800-296-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEVIEW DRIVE RANCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "626-482-3478"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190627BP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.