Copper Ridge, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

06018 Issued in MD

Legal business name

COPPER RIDGE, INC.

Practice address

710 Obrecht Rd
Sykesville, MD 21784-7650

Phone

(410) 795-8808

NPI assigned

Nov 30, 2005

Organization subpart

No

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

Authorized official

Name

Richard A Winter

Title

SVP, Financial Services

Phone

(267) 787-4104

Specialties & licenses 2

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Integrace, Inc.

  • Internal Medicine Physician
  • Chestertown, MD
  • NPI 1760198824

  Member Of

  NPD member

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1902880230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 DELAWARE DR",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342711",
            "telephone_number": "267-787-4097",
            "fax_number": "215-699-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 OBRECHT RD",
            "city": "SYKESVILLE",
            "state": "MD",
            "postal_code": "217847650",
            "telephone_number": "410-795-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER RIDGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SVP, FINANCIAL SERVICES",
        "authorized_official_telephone_number": "267-787-4104"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MD",
            "license": "06AL0180",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "06018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Elizabeth Clift
• Rochelle Helene Cocke, LCSW-C
• Peri Cohen Boersema, LCSW
• Amy M Cohen, LCPC
• Comptroller of Maryland Central Payroll Bureau
• Sara Cuomo, LGPC
• Custer Therapy LLC
• Kristen Custer
• Erica Davis, PHARMD
• Heidi Defendorf, LCSW-C

• Skilled Nursing Facility in Sykesville, MD
• Providers in Sykesville, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.