Ridgeview Rehab & Nursing Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0009035 Issued in IL

Legal business name

RIDGEVIEW REHAB & NURSING CENTER, LLC

Doing business as

Ridgeview Rehab & Nursing Center

Practice address

6450 N Ridge Blvd
Chicago, IL 60626-4804

Phone

(773) 743-8700

Fax

(773) 743-8407

NPI assigned

Aug 2, 2006

Last updated

Dec 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Webster

Title

Manager

Phone

84767992121

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ridgeview Rehab & Nursing Center Doing business as

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1821005844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 W ARTHUR AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607124029",
            "telephone_number": "847-679-2121",
            "fax_number": "847-679-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 N RIDGE BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606264804",
            "telephone_number": "773-743-8700",
            "fax_number": "773-743-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEVIEW REHAB & NURSING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "84767992121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0009035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0048470",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgeview Rehab & Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirk Remon Riddle, LICENSED PROFESSIONA
• Ride Ez
• Amber Rideout, DNP, CNM
• Ridge Dental Center
• Ridgeview Rehab & Nursing Center LLC
• Annie Ridgeway, RPH
• Jean Ridgeway, NURSE PRACTITIONER
• Tenisha Ridgeway, LCPC
• Jessica Ridgway
• Riding With Grace

• Skilled Nursing Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.