SLO RIDGECREST LLC (NPI# 1275521627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275521627 |
| Entity Type | Organization |
| Organization Name | SLO RIDGECREST LLC |
| Other Organization Name | RIDGECREST HEALTHCARE |
| Practice Address |
16640 N 38th St Phoenix AZ 85032-2103 |
| Practice Telephone | 6024826671 |
| Practice Fax Number | 6024823541 |
| Mailing Telephone | 6024826671 |
| Mailing Fax Number | 6024823541 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2013-02-12 |
| Authorized Official Name | MS. COLLEEN HELEN SWEET (MANAGING MEMBER) |
| Authorized Official Telephone | 4807979948 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | NCI2651 | AZ | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | NCI2651 | AZ | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 924771 | 05 |
| Other Name | Type Code |
|---|---|
| RidgeCrest Healthcare | Doing Business As Name - Organization |
| Street Address |
16640 N 38TH ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697913 | Kaylee Caudill | Physical Therapist | 16640 N 38th St, Phoenix, AZ 85032-2103 | 2020-10-20 |
| 1538628276 | Mychal Leaupepe | Physical Therapy Assistant | 16640 N 38th St, Phoenix, AZ 85032-2103 | 2019-03-12 |
| 1336613629 | Tahlea F Capps | Physical Therapy Assistant | 16640 N 38th St, Phoenix, AZ 85032-2103 | 2019-01-19 |
| 1316297013 | Windsor Ridgecrest, LLC | Skilled Nursing Facility | 16640 N 38th St, Phoenix, AZ 85032-2103 | 2012-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326592825 | Lifestream Complete Senior Living At Northeast Phoenix, Inc. | Skilled Nursing Facility | 20802 N. Cave Creek Road, Building 86, Phoenix, AZ 85024 | 2016-08-12 |
| 1548657083 | Kindred Nursing Centers West, LLC | Skilled Nursing Facility | 1880 E Van Buren St, Phoenix, AZ 85006-3742 | 2015-04-22 |
| 1396972667 | Caremeridian, LLC | Skilled Nursing Facility | 5301 E Thomas Rd, Phoenix, AZ 85018-8011 | 2009-06-15 |
| 1649440751 | Pinnacle Health Facilities Xxv Lp | Skilled Nursing Facility | 15810 South 42nd Street, Phoenix, AZ 85048-7409 | 2008-03-04 |
| 1619058120 | Humangood Arizona Inc. | Skilled Nursing Facility | 7550 N 16th St, Phoenix, AZ 85020 | 2006-10-18 |
| 1326134107 | Senior Living Options Maryland Gardens, LLC | Skilled Nursing Facility | 31 W Maryland Ave, Phoenix, AZ 85013-1227 | 2006-10-05 |
| 1013009745 | State of Arizona State Dept of Finance | Skilled Nursing Facility | 4141 North S. Herrera Way, Phoenix, AZ 85012 | 2006-09-29 |
| 1811096738 | Srcv Haven, LLC | Skilled Nursing Facility | 2645 East Thomas Road, Phoenix, AZ 85016-8201 | 2006-09-21 |
| 1275570269 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 8008 S Jesse Owens Pkwy, Phoenix, AZ 85042-6516 | 2006-05-31 |
| 1659324242 | Life Care Centers of America, Inc. | Skilled Nursing Facility | 4065 E Bell Rd, Phoenix, AZ 85032-2208 | 2006-05-18 |
| Find all providers in PHOENIX | ||||
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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.