NPIMap

Organization Active NPI

High Ridge House, Inc.

  • Religious Nonmedical Health Care Institution
  • Riverdale, NY
National Provider Identifier
1972659696
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Religious Nonmedical Health Care InstitutionTaxonomy code 282J00000X
Legal business name
HIGH RIDGE HOUSE, INC.
Practice address
5959 Independence Ave.
Riverdale, NY 10471-1299
Phone
(718) 796-4200
Fax
(718) 549-3465
NPI assigned
Jan 26, 2007
Last updated
Oct 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Authorized official

Name
Susan M West
Title
Business Manager
Phone
(972) 890-3427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Religious Nonmedical Health Care Institution 282J00000X Primary

Addresses

Primary practice location

5959 Independence Ave.
Riverdale, NY 10471-1299

Mailing address

5959 Independence Ave.
Riverdale, NY 10471-1299
Phone (718) 796-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972659696. Details of each certification follow.

Hospital certification: CCN 331990

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HIGH RIDGE HOUSE
Certification status
Terminated Voluntary: merger or closure, Dec 31, 2024
Provider type (POS)
Hospital – Religious non-medical health care institution
Participating since
Jul 24, 2000
Last certification
Aug 15, 2008
Beds
20
Ownership / control type
Church
Facility address
5959 Independence Avenue
Bronx, NY 10471

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1972659696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 INDEPENDENCE AVE.",
            "city": "RIVERDALE",
            "state": "NY",
            "postal_code": "104711299",
            "telephone_number": "718-796-4200",
            "fax_number": "718-549-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 INDEPENDENCE AVE.",
            "city": "RIVERDALE",
            "state": "NY",
            "postal_code": "104711299",
            "telephone_number": "718-796-4200",
            "fax_number": "718-549-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH RIDGE HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "972-890-3427"
    },
    "taxonomies": [
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, NY

Sources for this page

Verify at the official NPI Registry.