Ridgeland NC LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RIDGELAND NC LLC

Doing business as

Ridgeland NC

Practice address

1516 Grays Hwy
Ridgeland, SC 29936-5440

Phone

(843) 726-5581

Fax

(843) 726-3741

NPI assigned

Oct 13, 2021

Organization subpart

No

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

Authorized official

Name

Jerry Patton

Title

Member

Phone

(843) 726-5581

Specialties & licenses 1

Addresses

Other names 1

• Ridgeland NC Doing business as

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1902568272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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 NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "843-726-5581"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgeland NC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Reeves
• Jada Marie Reilley, LMSW
• Ridgeland Dialysis LLC (Ridgeland Dialysis)
• Ridgeland Drug Company Inc (Coastal Apothecary)
• Ridgeland Eye Associates LLC
• Ridgeland Nursing Center Inc
• Ridgeland Physical Therapy, Inc.
• Ridgeland Smiles
• Luna Riley
• Riverwalk Pharmacy Inc.

• 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 Oct 13, 2021; 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.