NPIMap

Organization Active NPI

Ridge Care, Inc.

Doing business as Priddy Manor Assisted Living

  • Adult Care Home Facility
  • King, NC
National Provider Identifier
1841750239
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
RIDGE CARE, INC.
Doing business as
Priddy Manor Assisted Living
Practice address
1294 Priddy Rd
King, NC 27021-7485
Phone
(336) 983-3068
Fax
(336) 985-6098
NPI assigned
Mar 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Authorized official

Name
Cynthia Ann Neagle
Title
VP Finance
Phone
(336) 993-7555

Specialties & licenses 1

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

Addresses

Primary practice location

1294 Priddy Rd
King, NC 27021-7485

Mailing address

853 Old Winston Rd Ste 118
Kernersville, NC 27284-8781
Phone (336) 993-7555

Other names 1

  • Priddy Manor Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Deerfield Ridge Assisted Living4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1841750239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 OLD WINSTON RD STE 118",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848781",
            "telephone_number": "336-993-7555",
            "fax_number": "336-993-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 PRIDDY RD",
            "city": "KING",
            "state": "NC",
            "postal_code": "270217485",
            "telephone_number": "336-983-3068",
            "fax_number": "336-985-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "NEAGLE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "336-993-7555"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Priddy Manor Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in King, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.