MSPF-IV Ridgemar Oe, LP

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

116802 Issued in TX

Legal business name

MSPF-IV RIDGEMAR OE, LP

Practice address

6600 Lands End CT
Fort Worth, TX 76116-2100

Phone

(817) 665-1971

Fax

(817) 665-1977

NPI assigned

Mar 13, 2008

Organization subpart

No

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

Authorized official

Name

Mr. David Ronck

Title

President

Phone

(214) 651-4050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• THE PLAZA AT RIDGEMAR Doing business as

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1801067269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 TURTLE CREEK BLVD",
            "address_2": "SUITE #1850",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194402",
            "telephone_number": "214-651-4050",
            "fax_number": "214-651-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 LANDS END CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761162100",
            "telephone_number": "817-665-1971",
            "fax_number": "817-665-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSPF-IV RIDGEMAR OE, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "RONCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-651-4050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "116802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID VENDOR",
            "identifier": "5470",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE PLAZA AT RIDGEMAR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.