Ridgeland Nursing Center Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RIDGELAND NURSING CENTER INC

Practice address

1516 Grays Hwy
Ridgeland, SC 29936-5440

Phone

(843) 726-5581

Fax

(843) 726-3741

NPI assigned

Jun 30, 2005

Organization subpart

No

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

Authorized official

Name

Sheri P Boyles

Title

LTC Administrator

Phone

(843) 726-5581

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881691384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1570",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299362627",
            "telephone_number": "843-726-5581",
            "fax_number": "843-726-3741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 GRAYS HWY",
            "city": "RIDGELAND",
            "state": "SC",
            "postal_code": "299365440",
            "telephone_number": "843-726-5581",
            "fax_number": "843-726-3741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGELAND NURSING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "BOYLES",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "LTC ADMINISTRATOR",
        "authorized_official_telephone_number": "843-726-5581"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0553NH",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sboyles@ridgelandnc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1516 Grays Hwy",
            "city": "Ridgeland",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299365440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jada Marie Reilley, LMSW
• Ridgeland Dialysis LLC (Ridgeland Dialysis)
• Ridgeland Drug Company Inc (Coastal Apothecary)
• Ridgeland Eye Associates LLC
• Ridgeland NC LLC (Ridgeland NC)
• Ridgeland Physical Therapy, Inc.
• Ridgeland Smiles
• Luna Riley
• Riverwalk Pharmacy Inc.
• Jose Maria Rodriguez-Maldonado, M.D.

• Skilled Nursing Facility in Ridgeland, SC
• Providers in Ridgeland, SC by specialty
• Skilled Nursing Facility in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.