Ridgemont Manor, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ACL0000000319 Issued in TN

Legal business name

RIDGEMONT MANOR, INC

Practice address

3805 Ridgemont Rd
Memphis, TN 38128-1948

Phone

(901) 336-8470

NPI assigned

May 9, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon Williams

Title

Administrator

Phone

(901) 336-8470

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1431129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431129600000",
    "number": "1902284060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 RIDGEMONT RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381281948",
            "telephone_number": "901-336-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 RIDGEMONT RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381281948",
            "telephone_number": "901-336-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEMONT MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-09",
        "last_updated": "2015-05-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-336-8470",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "ACL0000000319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445078",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mallory Lynn Riddle, DPT
• Ronisha Riddlespriger
• Pamela C Rideout
• Ridge Lake Anesthesia
• Ridge Lake ASC, LLC
• Tracee Ridley-Pryor, DNP
• Samantha Rieben, RBT
• Allison Marie Rieman, MS, LMFT
• Martha D Rieman, RN/NP
• William Webster Riggs Jr., MD

• Assisted Living Facility in Memphis, TN
• Providers in Memphis, TN by specialty
• Assisted Living Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2015; 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.