RIDGE OAK ASSISTED LIVING, LLC (NPI# 1871128280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871128280 |
| Entity Type | Organization |
| Organization Name | RIDGE OAK ASSISTED LIVING, LLC |
| Practice Address |
13919 Ridge Oak Pkwy San Antonio TX 78249-1505 |
| Practice Telephone | 2109088300 |
| Mailing Telephone | 2109088300 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | JAMES CALDWELL (MANAGER) |
| Authorized Official Telephone | 2109088300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| N/A | 000000000 | 01 |
| Other Name | Type Code |
|---|---|
| Imagine Wellness Assisted Living, LLC | Doing Business As Name - Organization |
| Street Address |
13919 RIDGE OAK PKWY |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78249-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1417566548 | Heenaben Jayantilal Rathod | Registered Nurse | 5803 Utsa Blvd, Apt #2101, San Antonio, TX 78249 | 2020-07-24 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1104472935 | Adam J Gordon | Social Worker | 6363 Dezavala Rd, San Antonio, TX 78249 | 2019-08-16 |
| 1336700582 | Michael Leland Post | Specialist/Technologist | 5150 Dezavala, San Antonio, TX 78249 | 2019-06-27 |
| 1043788722 | Stephen John Reynolds | Counselor | 5907 Trent Rnch, San Antonio, TX 78249 | 2018-11-11 |
| 1396211504 | Christina Michelle Morales | Specialist/Technologist | 4533 N Loop 1604 E, Ste 1119, San Antonio, TX 78249 | 2018-10-16 |
| Find all providers in zip 78249 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878598 | Lions Love LLC | Assisted Living Facility | 5303 Hamilton Wolfe Rd Apt 601, San Antonio, TX 78229-4363 | 2020-07-15 |
| 1417505132 | Snh Longhorn Tenant LLC | Assisted Living Facility | 575 Knights Cross Dr, San Antonio, TX 78258-3342 | 2019-08-27 |
| 1902451701 | Ninfa Hernandez Guzman | Assisted Living Facility | 325 E Locust St., San Antonio, TX 78212 | 2019-08-08 |
| 1659935609 | Mff Amber Oaks LLC | Assisted Living Facility | 4415 Rio Doro St., San Antonio, TX 78233 | 2019-04-25 |
| 1396209631 | Claudette Cynthia Roberts | Assisted Living Facility | 16906 Turkey Point St, San Antonio, TX 78232-1831 | 2019-01-30 |
| 1083190664 | Tony C Moffett Sr. | Assisted Living Facility | 6047 Still Mdw, San Antonio, TX 78222-3425 | 2018-07-17 |
| 1063906337 | Felicity Care Home LLC | Assisted Living Facility | 7923 Stebbins St, San Antonio, TX 78240-2620 | 2018-06-19 |
| 1316448723 | Concierge Sernior Service Enterprises | Assisted Living Facility | 4154 Swans Lndg, San Antonio, TX 78217-4245 | 2018-02-22 |
| 1295235901 | Ec Opco Windcrest, LLC | Assisted Living Facility | 6849 Crestway Rd, San Antonio, TX 78239-2321 | 2018-02-19 |
| 1629578695 | Judith Roberts | Assisted Living Facility | 9202 New Guilbeau Rd, San Antonio, TX 78250-5802 | 2018-02-16 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78249 |
Please comment or provide details below to improve the information on RIDGE OAK ASSISTED LIVING, LLC.
| 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.