Ridgewood Care Center

LBN: Racine County
Ridgewood Care Center is an health care organization with primary practice located at 3205 Wood Rd , Racine WI 53406-5048. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Racine County can be contacted via phone (262) 554-6440, or through Mcreynolds, William L via phone (262) 636-3273.

Contact Information

Primary practice address
3205 Wood Rd Racine WI 53406-5048
Phone: (262) 554-6440
Fax: (262) 554-5119
Website:
Map and Directions
Authorized official contact:
Name: Mcreynolds, William L
Phone: (262) 636-3273

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2925 Wisconsin

Profile Details

NPI number 1649275991
LBN Legal business name Racine County
DBA Doing business as Ridgewood Care Center
Authorized official Mcreynolds, William L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2005
Last updated Jan 14th, 2008 - about 17 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 1649275991 NPPES
Wisconsin MEDICAID 20130700

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