RAVENSWOOD VILLAGE
NPI 1124202304
Skilled Nursing Facility in Ravenswood, WV

Q: What is 200 South Ritchie Avenue Operations LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Q: What quality rating does 200 South Ritchie Avenue Operations LLC have?

CMS rates Ravenswood Village 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since December 24, 2007CLIA 51D0886896 · Waiver

2/5

Overall Rating

200 S RITCHIE AVE, RAVENSWOOD, WV 26164(304) 273-9385(304) 273-9387 Get Directions Write a Review

NPPES record last updated: May 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ravenswood Village NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVENSWOOD VILLAGE (NPI 1124202304) is a healthcare organization registered as a skilled nursing facility in Ravenswood, West Virginia and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through May 30, 2028 and lists Michael T. Berg, Assistant Secretary, as its authorized official.

NPPES Registry Identity

NPI1124202304

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business Name200 SOUTH RITCHIE AVENUE OPERATIONS LLC

Location Address200 S RITCHIE AVERavenswood, WV 26164-1721

Mailing Address101 E State StKennett Square, PA 19348-3109 · (610) 925-4436 · Fax (610) 925-4351

Phone(304) 273-9385

Fax(304) 273-9387

Organization SubpartNo

Authorized OfficialMichael T. BergAssistant Secretary · (505) 468-4752

Enumeration DateDecember 24, 2007

Last NPPES UpdateMay 2, 2016

✔ NPI 1124202304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

License✔ Licensed in WV · 122

Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

200 S RITCHIE AVE, Ravenswood, WV 26164

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Other Names 1

Doing Business AsRavenswood Village

Other Identifiers 2

Medicare OSCAR/certification515177WV

Medicaid0002860000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D0886896

Ravenswood Village · Ravenswood, WV

Active · expires May 30, 2028

CLIA Number51D0886896

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateMay 31, 2026

Certificate Expiration DateMay 30, 2028

Laboratory DirectorToni Varney

Laboratory Phone(304) 273-9385

Laboratory LocationRavenswood Village200 South Ritchie Avenue, Ravenswood, WV 26164

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Ravenswood Village (CMS certification number 515177), from CMS Care Compare.

Ravenswood Village

Nursing home · Ravenswood, WV

2/5 CMS Overall Rating

OwnershipFor profit - Limited Liability company

CMS Certification Number515177

Certified Beds62 beds58 residents per day on average

Medicare & Medicaid Participant SinceJanuary 1, 2002

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

2/5

Long-Stay Quality

Quality of care delivered to long-term residents.

2/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

3/5

Staffing

Based on nursing staff hours relative to resident needs.

3/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

86.17

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 1.85 · LPN 0.55 · RN 0.79

3.19 hrs per resident per day

Weekend Nurse Staffing

2.73 hrs per resident per day

Physical Therapist Staffing

0.08 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

42.2%

Registered Nurse Turnover

45.5%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Fines

1 totaling $3,250.00

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIRANDA BURBANK SLP

Speech-Language Pathologist