Ridge Oak Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RIDGE OAK ASSISTED LIVING, LLC

Practice address

13919 Ridge Oak Pkwy
San Antonio, TX 78249-1505

Phone

(210) 908-8300

NPI assigned

Mar 5, 2020

Organization subpart

No

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

Authorized official

Name

James Caldwell

Title

Manager

Phone

(210) 908-8300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Imagine Wellness Assisted Living, LLC Doing business as

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583366400000",
    "number": "1871128280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13919 RIDGE OAK PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491505",
            "telephone_number": "210-908-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13919 RIDGE OAK PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491505",
            "telephone_number": "210-908-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGE OAK ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-908-8300"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "000000000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imagine Wellness Assisted Living, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark D Riddoch, MD
• Ride Aid Transportation
• Debora D. Ridener, OTR/L, MOT
• Jessica Hope Ridenour, LMSW
• Christina Marie Rider
• Cindy Ridge
• David Ridge, FNP
• Paula Ridgel
• Ridgeline Westover Hills LLC
• Deanna Ridings, FNP

• Assisted Living Facility in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.