CEDAR RIDGE, INC (NPI# 1184848202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184848202 |
| Entity Type | Organization |
| Organization Name | CEDAR RIDGE, INC |
| Practice Address |
107 Thicksten Dr Alma AR 72921 |
| Mailing Address |
107 Thicksten Dr P.o. Box 2389 Alma AR 72921 |
| Practice Telephone | 4796323813 |
| Practice Fax Number | 4796328986 |
| Mailing Telephone | 4796323813 |
| Mailing Fax Number | 4796328986 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. TONI D WILSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4796323813 |
| Authorized Official Credential | M.ED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 04-G030 | AR | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043424047 | Cedar Ridge, Inc | Substance Abuse Rehabilitation Facility | 11400 Julianne Ave N, Stillwater, MN 55082-9436 | 2007-05-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CEDAR RIDGE, INC. | N950 County Road Kw, Cedar Grove, WI 53013-1237 |
| Washington State Corporations | CEDAR RIDGE, INC. | 415 E Mill Plain Blvd P O Box 1310, Vancouver, WA 98666 |
| Connecticut Business Registrations | CEDAR RIDGE, INC. | Pratt Rd, Plainfld, CT 06374 |
| Street Address |
107 THICKSTEN DR |
| City | ALMA |
| State | AR |
| Zip Code | 72921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407464241 | Mercedez Paige Flanagan | Pharmacist | 1287 Red Oak Dr, Alma, AR 72921 | 2020-07-17 |
| 1225549371 | Courtney Leigh Craft | Speech-Language Pathologist | 1600 Us-64 Bus, Alma, AR 72921 | 2017-10-17 |
| 1962943704 | Ashley Brown, LLC | Community/Behavioral Health | 641 Highway 71 N Suite 5, Alma, AR 72921 | 2017-03-13 |
| 1871035832 | Deborah Palmer | Contractor | 114 Westfork St., Alma, AR 72921 | 2016-11-08 |
| 1740558972 | Cheryl Lynette Scott | Pharmacist | 323 Hwy 64 E, Alma, AR 72921 | 2011-12-02 |
| 1306125208 | Janie Katherine Hankins | Speech-Language Pathologist | Highway 64e, Alma, AR 72921 | 2011-08-09 |
| 1356630081 | Emily Robertson | Speech-Language Pathologist | 1036 Highway 64 E, Alma, AR 72921 | 2011-04-04 |
| 1295964047 | Coleman Pharmacy of Crawford County Inc. | Pharmacy | 18 Hwy 162 South, Alma, AR 72921 | 2009-07-14 |
| 1194971754 | Melinda Mendzef | Speech-Language Pathologist | 1600 Highway 64 East, Alma, AR 72921 | 2008-08-14 |
| 1992968838 | Thomas C Long | Counselor | 827 Harrell St, Alma, AR 72921 | 2008-07-09 |
| Find all providers in zip 72921 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891832952 | Unison Behavioral Health | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 123 Quart Douglas Road, Alma, GA 31510 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679701775 | Chucks Developemental Outreach Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2300 Ouachita 4, Stephens, AR 71764-9196 | 2009-06-26 |
| 1801024997 | D&j Early Learning&deveopmental Center Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2302 Ouachita 4, Stephens, AR 71764-9196 | 2009-06-26 |
| 1881822971 | Drews Early Learning Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1100 Rbl Estate Rd, Pine Bluff, AR 71603-9272 | 2009-06-26 |
| 1548477268 | Branmat Corporation | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4100 Heritage Dr, North Little Rock, AR 72117-2522 | 2007-05-16 |
| 1023236163 | State of Arkansas | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1 Center Cir, Warren, AR 71671-3033 | 2007-04-23 |
| 1386770030 | State of Arkansas | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4701 Colony Dr, Jonesboro, AR 72404-9317 | 2007-02-26 |
| 1093840282 | State of Arkansas | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 150 Siebenmorgen Rd, Conway, AR 72032 | 2007-02-21 |
| 1619911450 | Easy K Foundation, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Hc 80 Box 1130, Sage, AR 72573-9535 | 2006-06-15 |
| 1851916738 | Community Living Arrangements | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 714 W Grove St, El Dorado, AR 71730-4416 | 2020-06-16 |
| 1972638609 | Arkansas Easter Seals Arkansas | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3920 Woodland Heights Rd, Little Rock, AR 72212-2495 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.