RIDGEVIEW DRIVE RANCH, LLC (NPI# 1669825535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669825535 |
Entity Type | Organization |
Organization Name | RIDGEVIEW DRIVE RANCH, LLC |
Practice Address |
3323 Marengo Ave Altadena CA 91001 |
Mailing Address |
3085 Ridgeview Dr Altadena CA 91001-4527 |
Practice Telephone | 8002961868 |
Mailing Telephone | 8002961868 |
Enumeration Date | 2016-07-15 |
Last Update Date | 2018-06-21 |
Authorized Official Name | LARRY THORNTON (AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 6264823478 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 190627BP | CA | Residential Treatment Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124366406 | Ridgeview Drive Ranch, LLC | Clinic/Center | 741 W Woodbury Rd, Altadena, CA 91001 | 2013-01-22 |
1841435179 | Ridgeview Drive Ranch, LLC | Substance Abuse Rehabilitation Facility | 3085 Ridgeview Drive, Altadena, CA 91001 | 2008-12-16 |
Street Address |
3323 MARENGO AVE |
City | ALTADENA |
State | CA |
Zip Code | 91001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891206967 | Ross Gordon Reay | Counselor | 3323 Marengo Ave, Altadena, CA 91001-4039 | 2017-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518455302 | Pax House Inc. | Clinic/Center | 2052 Lake Ave Ste F, Altadena, CA 91001 | 2018-04-26 |
1629592506 | Alfredo Manuel Mercado Jr. | Rehabilitation Practitioner | Tobinworld Mental Health, 920 E Boradway Street, Glendale, CA 91001 | 2017-08-01 |
1477000909 | Christopher Harris Jr. | Case Manager/Care Coordinator | 856 Figueroa Dr, Altadena, CA 91001 | 2016-09-01 |
1962864363 | Laura Peterson | Internal Medicine | 2225 Midwick Dr, Altadena, CA 91001 | 2016-03-24 |
1750741484 | Greta Francine Johnson | Psychiatry & Neurology | 800 S. Barranca, Covina, CA 91001 | 2016-02-23 |
1205211463 | Oscar Morales Aguirre | Licensed Vocational Nurse | 2145 North Marengo Ave, Altadena, CA 91001 | 2015-07-29 |
1811308703 | Growing Pains Individual, Family, and Couples Theraputic Services | Community/Behavioral Health | 29b Altadena Drive, Altadena, CA 91001 | 2014-05-13 |
1851727325 | Jennifer Sue-rurng Chen | Student in an Organized Health Care Education/Training Program | 2046 North Allen Avenue, Altadena, CA 91001 | 2013-09-17 |
1124366406 | Ridgeview Drive Ranch, LLC | Clinic/Center | 741 W Woodbury Rd, Altadena, CA 91001 | 2013-01-22 |
1164730784 | James Thomas Klotzle | Counselor | 161 Purple Sage Ln, Altadena, CA 91001 | 2010-09-16 |
Find all providers in zip 91001 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841435179 | Ridgeview Drive Ranch, LLC | Substance Abuse Rehabilitation Facility | 3085 Ridgeview Drive, Altadena, CA 91001 | 2008-12-16 |
1689844334 | Alcohol and Substance Abuse Programs, Inc. | Substance Abuse Rehabilitation Facility | 1092 New York Dr, Altadena, CA 91001-3118 | 2008-03-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801497359 | California Care Detox & Treatment | Substance Abuse Rehabilitation Facility | 25542 Dana Mesa Dr, San Juan Capistrano, CA 92675-4311 | 2020-11-02 |
1952900797 | A Sacred Path | Substance Abuse Rehabilitation Facility | 5671 Spanish Flat Rd, Garden Valley, CA 95633 | 2020-10-22 |
1467051672 | Spearhead Health Centers, LLC. | Substance Abuse Rehabilitation Facility | 11704 Wilshire Blvd Ste 226, Los Angeles, CA 90025-1504 | 2020-10-19 |
1073111613 | A Place To Heal | Substance Abuse Rehabilitation Facility | 14540 Hamlin St Ste H, Van Nuys, CA 91411-4153 | 2020-10-15 |
1871191569 | Old Oak Ranch Recovery Center | Substance Abuse Rehabilitation Facility | 19401 Susan Way, Sonora, CA 95370-9266 | 2020-10-14 |
1962009845 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 9952 Grandview Dr, La Mesa, CA 91941-6874 | 2020-10-05 |
1376140384 | Magic House Recovery Inc | Substance Abuse Rehabilitation Facility | 1001 S Mountvale Ct, Anaheim, CA 92808-2108 | 2020-10-02 |
1942807060 | New Perceptions North, LLC | Substance Abuse Rehabilitation Facility | 5084 N Fruit Ave Ste 105, Fresno, CA 93711-3000 | 2020-10-01 |
1346857679 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 3480 Hidden Trail Dr, Jamul, CA 91935-2104 | 2020-09-30 |
1992312227 | Apex Recovery, LLC | Substance Abuse Rehabilitation Facility | 2810 Camino Del Rio S Ste 106, San Diego, CA 92108-3819 | 2020-09-30 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on RIDGEVIEW DRIVE RANCH, 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.