North Ridge Skilled, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

327788 Issued in MN

Legal business name

NORTH RIDGE SKILLED, LLC

Doing business as

North Ridge Health and Rehab

Practice address

5430 Boone Ave N
New Hope, MN 55428-3615

Phone

(763) 492-3000

NPI assigned

Sep 19, 2005

Last updated

Oct 17, 2019By 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

Barnes Michelle

Title

Director Revenue Cycle Management

Phone

(813) 895-1797

Specialties & licenses 2

Addresses

Other names 1

• North Ridge Health and Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881689628. Details of each certification follow.

• CCN 245183A Skilled nursing facility · Details

Skilled nursing facility certification: CCN 245183A

Legal name

NORTH RIDGE SKILLED, LLC

Doing business as

NORTH RIDGE HEALTH AND REHAB

Organization structure

LLCProprietary

Incorporated

Nov 15, 2013 in FL

Enrollment address

5430 Boone Ave North
New Hope, MN 55428-3615

Nursing home name

NORTH RIDGE HEALTH AND REHAB

Affiliated entity

MISSION HEALTH COMMUNITIES

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Clemencia Rasquinha, M.D

  • Geriatric Medicine (Family Medicine) Physician
  • Golden Valley, MN
  • NPI 1023021409

  Corporate Director

  CMS ownership

Facilities with the same owner 38

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Arma Operator LLC

  dba Arma Health and Rehab

  • Skilled Nursing Facility
  • Arma, KS
  • NPI 1144525031

  Barres, LLC, Mission Health Communities, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC

  CMS ownership
• Bainbridge Operator LLC

  dba Bainbridge Health and Rehab

  • Skilled Nursing Facility
  • Bainbridge, GA
  • NPI 1508038696

  Barres, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC

  CMS ownership
• Chase County Operator, LLC

  • Skilled Nursing Facility
  • Cottonwood Falls, KS
  • NPI 1639728686

  Barres, LLC, Mission Health Communities, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC

  CMS ownership
• Colby Operator, LLC

  dba Colby Health and Rehab

  • Skilled Nursing Facility
  • Colby, KS
  • NPI 1285824797

  Barres, LLC, Mission Health Communities, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC

  CMS ownership
• Columbus Operator, LLC

  dba Columbus Health and Rehab

  • Skilled Nursing Facility
  • Columbus, WI
  • NPI 1750376489

  Barres, LLC, Mission Health Communities, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC

  CMS ownership
• Dickson Operator LLC

  dba Dickson Health and Rehab

  • Skilled Nursing Facility
  • Dickson, TN
  • NPI 1215109459

  Barres, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC

  CMS ownership
• Downs Operator, LLC

  • Skilled Nursing Facility
  • Downs, KS
  • NPI 1619526662

  Barres, LLC, Mission Health Communities, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC

  CMS ownership
• Edwardsville Operator, LLC

  • Skilled Nursing Facility
  • Edwardsville, KS
  • NPI 1487203444

  Barres, LLC, Mission Health Communities, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC

  CMS ownership
• El Dorado Operator, LLC

  • Skilled Nursing Facility
  • El Dorado, KS
  • NPI 1568011526

  Barres, LLC, Mission Health Communities, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC

  CMS ownership
• Eskridge Operator, LLC

  • Skilled Nursing Facility
  • Eskridge, KS
  • NPI 1083263040

  Barres, LLC, Mission Health Communities, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC

  CMS ownership
• Fort Gaines Operator LLC

  dba Fort Gaines Health and Rehab

  • Skilled Nursing Facility
  • Fort Gaines, GA
  • NPI 1750553996

  Barres, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC

  CMS ownership
• Fort Valley Operator LLC

  dba Fort Valley Health and Rehab

  • Skilled Nursing Facility
  • Fort Valley, GA
  • NPI 1093987232

  Barres, LLC, T and C Capital Assets, LLC, Windward Health Partners LLC

  CMS ownership

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erin Phaedra Emerson Egginton, DO

  • Family Medicine Physician
  • Minneapolis, MN
  • NPI 1609040054
  NPD (past)
• Emily Diane Escue, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Minneapolis, MN
  • NPI 1407295124
  NPD (past)
• Scott J Fairbairn, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Minneapolis, MN
  • NPI 1174553747
  NPD (past)
• Brian Lewis, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Golden Valley, MN
  • NPI 1235525015
  NPD (past)
• Luis A Martinez, M.D.

  • Family Medicine Physician
  • Perham, MN
  • NPI 1487634226
  NPD (past)
• Susan K Nelson, MD

  • Family Medicine Physician
  • New Hope, MN
  • NPI 1174617732
  NPD (past)
• Thanh Tam N Nguyen, M.D.

  • Internal Medicine Physician
  • Minneapolis, MN
  • NPI 1477793263
  NPD (past)
• Miriam V Ragab, DO

  • Family Medicine Physician
  • Cokato, MN
  • NPI 1356335467
  NPD (past)
• Clemencia Rasquinha, M.D

  • Geriatric Medicine (Family Medicine) Physician
  • Golden Valley, MN
  • NPI 1023021409
  NPD (past)
• Subhadra Chereddy, MBBS

  • Family Medicine Physician
  • St Augustine, FL
  • NPI 1255591103
  NPD (past)

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1881689628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 BOONE AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283615",
            "telephone_number": "763-592-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 BOONE AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283615",
            "telephone_number": "763-492-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RIDGE SKILLED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "MICHELLE",
        "authorized_official_first_name": "BARNES",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "813-895-1797"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "327788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Ridge Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Ridge Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry Nguyen
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• Farah Ahamed Noorani, LICSW
• North Ridge Adult Day Care LLC
• North Ridge Skilled LLC
• Julie Nowariak
• Nujchi LLC (Nujchi)
• Nurses Health Care LLC
• Nurses Health Care LLC
• Rashmi Samantha O'Hara, LMFT

• Skilled Nursing Facility in New Hope, MN
• Providers in New Hope, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.