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RIDGECREST HEALTHCARE INC. NPI 1265649768


NPI Information

NPI: 1265649768
Provider Name: RIDGECREST HEALTHCARE, INC.

Doing Business As: RIDGECREST HEALTHCARE

Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
1131 N CHINA LAKE BLVD
RIDGECREST, CA
ZIP 93555
Phone: (760) 446-3591
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RIDGECREST HEALTHCARE, INC. is a residential treatment facility physical disabilities in Ridgecrest, CA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. RIDGECREST HEALTHCARE, INC. NPI is 1265649768. The provider is registered as an organization entity type.
The provider Is Doing Business As Ridgecrest Healthcare.

The provider's business location address is:

1131 N CHINA LAKE BLVD
RIDGECREST, CA
ZIP 93555-131
Phone: (760) 446-3591
Fax: (323) 344-8900

The provider's authorized official is Oscar Parel .
The authorized official title is Ceo and has the following contact phone number (213) 494-4386.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320700000XResidential Treatment Facility, Physical DisabilitiesLTC55248GCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1LTC55248GMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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