Ridgecrest Village

LBN: Christian Retirement Homes, Inc.
Ridgecrest Village is an health care organization with primary practice located at 4130 Northwest Blvd , Davenport IA 52806-4243. The organization recently has 4 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center), Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Christian Retirement Homes, Inc. can be contacted via phone (563) 391-3430, or through Vigen, Bert via phone (563) 391-3430.

Contact Information

Primary practice address
4130 Northwest Blvd Davenport IA 52806-4243
Phone: (563) 391-3430
Fax: (563) 388-3287
Website:
Map and Directions
Authorized official contact:
Name: Vigen, Bert
Phone: (563) 391-3430

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X S0139 Iowa
Nursing & Custodial Care Facilities / Alzheimer Center (Dementia Center) 311500000X S0139 Iowa
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X N0407 Iowa
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X N0407 Iowa

Profile Details

NPI number 1861484271
LBN Legal business name Christian Retirement Homes, Inc.
DBA Doing business as Ridgecrest Village
Authorized official Vigen, Bert
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2005
Last updated Jan 3rd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861484271 NPPES
Iowa MEDICAID 0803403

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