SUMMERVILLE AT RIDGEWOOD GARDENS LLC (NPI# 1629305503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629305503 |
| Entity Type | Organization |
| Organization Name | SUMMERVILLE AT RIDGEWOOD GARDENS LLC |
| Other Organization Name | SUMMERVILLE AT RIDGEWOOD GARDENS |
| Practice Address |
2001 Ridgewood Dr Salem VA 24153-7126 |
| Mailing Address |
3131 Elliott Ave Suite 500 Seattle WA 98121-1044 |
| Practice Telephone | 5403874945 |
| Practice Fax Number | 5403874947 |
| Mailing Telephone | 2062982909 |
| Mailing Fax Number | 2063014500 |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |
| Authorized Official Name | NOELLE DIAZ BICKEL (LICENSING SPECIALIST) |
| Authorized Official Telephone | 2062982909 |
| Is Organization Subpart | Y |
| Parent Organization Name | SENIOR LIVING PROPERTIES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | WLO-08-1103828 | VA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Summerville at Ridgewood Gardens | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Summerville at Ridgewood Gardens LLC | 3131 Elliott Ave Ste 500, Seattle, Washington 98121-1032 |
| Street Address |
2001 RIDGEWOOD DR |
| City | SALEM |
| State | VA |
| Zip Code | 24153-7126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144206061 | Christi L Nicely | Occupational Therapist | 2001 Ridgewood Dr, Salem, VA 24153-7126 | 2005-12-22 |
| 1659876712 | Christina M Dillon | Occupational Therapy Assistant | 2001 Ridgewood Dr, Salem, VA 24153-7126 | 2018-03-29 |
| 1447708896 | Bryan Barnes | Speech-Language Pathologist | 2001 Ridgewood Dr, Salem, VA 24153-7126 | 2016-09-14 |
| 1730561523 | Tyler Garnett | Physical Therapy Assistant | 2001 Ridgewood Dr, Salem, VA 24153-7126 | 2015-06-29 |
| 1336548510 | Elizabeth Lutz | Physical Therapy Assistant | 2001 Ridgewood Dr, Salem, VA 24153-7126 | 2014-08-14 |
| 1902212475 | Michael Clevinger | Physical Therapy Assistant | 2001 Ridgewood Dr, Salem, VA 24153-7126 | 2014-07-06 |
| 1164762548 | Monica L Hubbard | Occupational Therapy Assistant | 2001 Ridgewood Dr, Salem, VA 24153-7126 | 2013-02-22 |
| 1215289806 | Karin Denise Anderson | Occupational Therapist | 2001 Ridgewood Dr, Salem, VA 24153-7126 | 2012-10-08 |
| 1013279413 | Jody Lynn Harden | Physical Therapy Assistant | 2001 Ridgewood Dr, Salem, VA 24153-7126 | 2012-06-12 |
| 1467658328 | Jason Andrew Hill | Occupational Therapy Assistant | 2001 Ridgewood Dr, Salem, VA 24153-7126 | 2007-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| 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 |
|---|---|---|---|---|
| 1689290231 | Fm Redwood Heights, LLC | Assisted Living Facility | 4050 12th St Cutoff Se, Salem, OR 97302-1775 | 2020-06-19 |
| 1720604499 | Fm Cedar Village, LLC | Assisted Living Facility | 4452 Lancaster Dr Ne, Salem, OR 97305-1697 | 2020-06-18 |
| 1154946457 | Willson House | Assisted Living Facility | 1625 Center St Ne, Salem, OR 97301-4268 | 2020-06-11 |
| 1255964573 | Cottages At Salem, Inc. | Assisted Living Facility | 339 S Hotze Rd, Salem, IL 62881-6858 | 2020-02-14 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1902040769 | Regency At Salem, LLC | Assisted Living Facility | 4710 Sunnyside Rd Se, Salem, OR 97302-3504 | 2009-04-23 |
| 1013159995 | Elder Assisted Living LLC | Assisted Living Facility | 1015 S 550 W, Salem, UT 84653 | 2009-03-24 |
| 1750522389 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 1916 S Lincoln Ave, Salem, OH 44460-4385 | 2009-03-11 |
| 1265694111 | Meadow Creek Limited Partnership | Assisted Living Facility | 3988 12th St Se, Salem, OR 97302 | 2008-07-01 |
| 1730347097 | Salem Elderly Living LLC | Assisted Living Facility | 600 S Hill St, Salem, SD 57058-8707 | 2008-05-22 |
| Find all providers in SALEM | ||||
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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.