Cedar Ridge Inn, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1007 Issued in NM

Legal business name

CEDAR RIDGE INN, INC.

Practice address

800 Saguaro TRL
Farmington, NM 87401-9632

Phone

(505) 598-6000

Fax

(505) 598-6009

NPI assigned

Jul 12, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Krissi Elliott

Title

Management

Phone

(970) 516-1404

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1902804156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SAGUARO TRL",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019632",
            "telephone_number": "505-598-6000",
            "fax_number": "505-598-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SAGUARO TRL",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019632",
            "telephone_number": "505-598-6000",
            "fax_number": "505-598-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RIDGE INN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "KRISSI",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "970-516-1404",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NM",
            "license": "1007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28985010",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angel Castor
• George Erwin Cathey, DDS
• Catholic Health Initiatives Colorado
• Matthew Catuna
• Joseph Matthew Cauthen
• Cenikor Foundation
• Mary Ellen Cerroni, PA-C
• Karla Ann Chace, OTR
• Cheryl Chaloner, MSW
• Mykalynn Chamblee

• Skilled Nursing Facility in Farmington, NM
• Providers in Farmington, NM by specialty
• Skilled Nursing Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.