CEDAR RIDGE, INC
NPI 1184848202
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Alma, AR

Active since April 12, 2007CLIA 04D2074939 · Waiver
107 THICKSTEN DR, ALMA, AR 72921(479) 632-3813(479) 632-8986 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cedar Ridge, Inc NPPES

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

CEDAR RIDGE, INC (NPI 1184848202) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Alma, Arkansas and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through March 18, 2028 and lists Toni D Wilson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1184848202
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameCEDAR RIDGE, INC
Location Address107 THICKSTEN DRAlma, AR 72921
Mailing Address107 Thicksten Dr, P.o. Box 2389Alma, AR 72921 · (479) 632-3813 · Fax (479) 632-8986
Fax(479) 632-8986
Organization SubpartNo
Authorized OfficialToni D WilsonExecutive Director · (479) 632-3813
Enumeration DateApril 12, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1184848202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in AR · 04-G030
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
107 THICKSTEN DR, Alma, AR 72921

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 04D2074939

Cedar Ridge · Alma, AR
Active · expires Mar 18, 2028
CLIA Number04D2074939
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorWaltona D. Wilson Ward
Laboratory Phone(479) 632-2745
Laboratory LocationCedar Ridge107 Thicksten Drive, Alma, AR 72921
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cedar Ridge, Inc's NPI number?

The NPI number for Cedar Ridge, Inc is 1184848202. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Cedar Ridge, Inc located?

Cedar Ridge, Inc is located at 107 Thicksten Dr, Alma, AR 72921. The listed phone number is (479) 632-3813.

What is Cedar Ridge, Inc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Cedar Ridge, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2074939) is associated with this NPI, valid through March 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cedar Ridge, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.