Ridgeview Care Center LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0051912 Issued in IL

Legal business name

RIDGEVIEW CARE CENTER LLC

Practice address

413 Ridge LN
Oblong, IL 62449-1635

Phone

(618) 592-4228

Fax

(618) 592-3026

NPI assigned

Oct 7, 2016

Last updated

Oct 7, 2016By 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

Sarah Griesemer, LNHA, MHA

Title

Administrator

Phone

(618) 592-4228

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1861942435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 RIDGE LN",
            "city": "OBLONG",
            "state": "IL",
            "postal_code": "624491635",
            "telephone_number": "618-592-4228",
            "fax_number": "618-592-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 RIDGE LN",
            "city": "OBLONG",
            "state": "IL",
            "postal_code": "624491635",
            "telephone_number": "618-592-4228",
            "fax_number": "618-592-3026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEVIEW CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "GRIESEMER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-592-4228",
        "authorized_official_credential": "LNHA, MHA"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "0051912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyanne Jade Knollenberg
• Gaynell Sue Ladislas, APN
• Keri Jane Mullins, APRN-BC
• Oblong Cu School Dist 4
• Ridgeview Care Center
• Ridgeview Health and Rehab Center LLC
• Ridgeview Health and Rehab Center LLC
• Ridgeview Health and Rehab Center LLC
• Gail Lyn Russell, LPTA
• Suiter Chiropractic, PLLC (Dr. Jamie Suiter, DC)

• Durable Medical Equipment & Medical Supplies in Oblong, IL
• Providers in Oblong, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.