Active NPI
Ridgewood Terrace, LLC
Doing business as Ridgewood Terrace Health and Rehabilitation Center
- Skilled Nursing Facility
- Madisonville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 100627
- Legal business name
- RIDGEWOOD TERRACE, LLC
- Doing business as
- Ridgewood Terrace Health and Rehabilitation Center
- Practice address
- 150 Cornwall Dr
Madisonville, KY 42431-8781 - Phone
- (270) 825-0166
- Fax
- (270) 825-0169
- NPI assigned
- Jun 9, 2006
- Last updated
- Sep 24, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenda Lowry
- Title
- President/Owner
- Phone
- (270) 825-2528
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 100627 | KY | Primary |
Addresses
Primary practice location
150 Cornwall Dr
Madisonville, KY 42431-8781
Mailing address
150 Cornwall Dr
Madisonville, KY 42431-8781
Phone (270) 825-0166
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12504577 | Medicaid | KY | |
| 100627 | Other | KY | LICENSE |
Other names 1
- Ridgewood Terrace Health and Rehabilitation Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.concordhealthsystems.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040204000268 | KY | Part A Provider - Skilled Nursing Facility | 1557254539 | Practice locations: Madisonville, KY |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1902847361. Details of each certification follow.
Skilled nursing facility certification: CCN 185306
- Legal name
- RIDGEWOOD TERRACE, LLC
- Doing business as
- RIDGEWOOD TERRACE HEALTH AND REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 30, 1991
- Last certification
- May 23, 2025
- Beds
- 110
- Ownership / control type
- Corporation
- Multi-facility organization
- Concord Health Systems
- Most recent change of ownership
- Jan 1, 2004
- Organization structure
- LLC
- Enrollment address
- 150 Cornwall Dr
Madisonville, KY 42431-8781 - Nursing home name
- RIDGEWOOD TERRACE HEALTH AND REHABILITATION CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Ridgewood Terrace Health and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 30, 1991
- Medicare certification status
- Active
- Certified beds
- 110
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0675878 | Ridgewood Terrace Nursing Home | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
150 Cornwall Dr
Madisonville, KY 42431
Phone (270) 825-0166
Ownership & related parties
All disclosed owners & managing parties 16
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Concord Professional Properties LLC | Adp of the SNF | Jan 13, 2025 | |
| Harshul Patel | Adp of the SNF | Jan 13, 2025 | |
| Concord Health Systems Management Group Inc | Operational/Managerial Control | Mar 30, 2007 | |
| Adp of the SNF | Jan 13, 2025 | ||
| Hargis & Associates, LLC | Adp of the SNF | Jan 13, 2025 | |
| Robyn Wilcher | Adp of the SNF | Jan 13, 2025 | |
| Sarah McIntosh | Adp of the SNF | Jan 13, 2025 | |
| Forwood E Hargis | Adp of the SNF | Jan 13, 2025 | |
| Jessica Lopez | Operational/Managerial Control | Jan 13, 2025 | |
| Adp of the SNF | Jan 13, 2025 | ||
| Brenda Lowry Irrv TR Fbo James Lowry | 5% Or Greater Direct Ownership Interest | Dec 31, 2025 | 15.5% |
| Adp of the SNF | Dec 31, 2025 | ||
| Matthew Lowry | Corporate Officer | Jun 30, 2024 | |
| Managing Control - Governing Body | Jun 30, 2024 | ||
| Trustee of the SNF | Jul 31, 2025 | ||
| Steve Davis | Adp of the SNF | Jan 13, 2025 | |
| Brenda Lowry | 5% Or Greater Direct Ownership Interest | Dec 31, 2025 | 25% |
| Operational/Managerial Control | Jun 30, 2024 | ||
| Managing Control - Governing Body | Jun 30, 2024 | ||
| Trustee of the SNF | Jun 30, 2024 | ||
| Adp of the SNF | Jun 30, 2024 | ||
| David a Lowry | 5% Or Greater Direct Ownership Interest | Dec 31, 2025 | 24% |
| Managing Control - Governing Body | Jun 30, 2024 | ||
| Trustee of the SNF | Jun 30, 2024 | ||
| Adp of the SNF | Dec 31, 2025 | ||
| James Lowry | Operational/Managerial Control | Jun 30, 2024 | |
| Managing Control - Governing Body | Jun 30, 2024 | ||
| Trustee of the SNF | Mar 17, 2026 | ||
| Adp of the SNF | Jun 30, 2024 | ||
| David Lowry Irrv TR Fbo Matthew Lowry | 5% Or Greater Direct Ownership Interest | Dec 31, 2025 | 25.5% |
| Adp of the SNF | Dec 31, 2025 | ||
| James Lowry Family Irrv TR | 5% Or Greater Direct Ownership Interest | Jan 7, 2010 | 10% |
| Adp of the SNF | Jan 13, 2025 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Periodontics
- Owensboro, KY
- NPI 1558435743
5% Or Greater Direct Ownership Interest, Adp of the SNF, Managing Control - Governing Body, Trustee of the SNF
Facilities with the same owner 2
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Dawson Pointe
- Skilled Nursing Facility
- Dawson Springs, KY
- NPI 1063451953
Brenda Lowry Irrv TR Fbo James Lowry, Concord Health Systems Management Group Inc, David Lowry Irrv TR Fbo Matthew Lowry, James Lowry Family Irrv TR
-
dba Tradewater Pointe
- Skilled Nursing Facility
- Dawson Springs, KY
- NPI 1851331672
Brenda Lowry Irrv TR Fbo James Lowry, David Lowry Irrv TR Fbo Matthew Lowry, James Lowry Family Irrv TR
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Occupational Therapy Assistant
- Madisonville, KY
- NPI 1386320596
-
- Speech-Language Pathologist
- Madisonville, KY
- NPI 1811385701
-
- Social Worker
- Madisonville, KY
- NPI 1538979455
-
- Occupational Therapy Assistant
- Madisonville, KY
- NPI 1427762079
-
- Occupational Therapy Assistant
- Madisonville, KY
- NPI 1982361523
-
- Physical Therapist
- Madisonville, KY
- NPI 1003576901
-
- Physical Therapy Assistant
- Madisonville, KY
- NPI 1336731736
-
- Physical Therapist
- Clarksville, TN
- NPI 1427730605
-
- Internal Medicine Physician
- Cadiz, KY
- NPI 1427213842
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Madisonville, KY
- NPI 1548753023
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569283200000",
"number": "1902847361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 CORNWALL DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424318781",
"telephone_number": "270-825-0166",
"fax_number": "270-825-0169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 CORNWALL DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424318781",
"telephone_number": "270-825-0166",
"fax_number": "270-825-0169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIDGEWOOD TERRACE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2019-09-24",
"status": "A",
"authorized_official_last_name": "LOWRY",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "270-825-2528"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KY",
"license": "100627",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12504577",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "100627",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.concordhealthsystems.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "150 Cornwall Dr",
"city": "Madisonville",
"state": "KY",
"country_code": "US",
"postal_code": "424318781",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Ridgewood Terrace Health and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madisonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.