Organization Active NPI

Ridgemont Afh LLC

  • Adult Care Home Facility
  • Port Orchard, WA
National Provider Identifier
1790532083
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
RIDGEMONT AFH LLC
Practice address
4405 Landis CT SW
Port Orchard, WA 98367-8813
Phone
(206) 751-5404
NPI assigned
May 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Judy Njage
Title
Adult Care Home Administrator
Phone
(206) 751-5404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

4405 Landis CT SW
Port Orchard, WA 98367-8813

Mailing address

4405 Landis CT SW
Port Orchard, WA 98367-8813

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1790532083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 LANDIS CT SW",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983678813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 LANDIS CT SW",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983678813",
            "telephone_number": "206-751-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEMONT AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "NJAGE",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "ADULT CARE HOME ADMINISTRATOR",
        "authorized_official_telephone_number": "206-751-5404"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.