FOREST RIDGE ASSISSTED LIVING, LLC
NPI 1326393935
Assisted Living Facility in West Jefferson, NC

Active since July 19, 2012CLIA 34D2151106 · Waiver
151 VILLAGE PARK DR, WEST JEFFERSON, NC 28694(336) 846-1008 Get Directions Write a Review

NPPES record last updated: July 19, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Forest Ridge Assissted Living, Llc NPPES

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

FOREST RIDGE ASSISSTED LIVING, LLC (NPI 1326393935) is a healthcare organization registered as an assisted living facility in West Jefferson, North Carolina and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through July 11, 2028 and lists Steven E Bailey, Member Manager, as its authorized official.

NPPES Registry Identity

NPI1326393935
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFOREST RIDGE ASSISSTED LIVING, LLC
Location Address151 VILLAGE PARK DRWest Jefferson, NC 28694-6015
Mailing Address151 Village Park DrWest Jefferson, NC 28694-6015 · (336) 846-1008
Organization SubpartNo
Authorized OfficialSteven E BaileyMember Manager · (336) 993-7555
Enumeration DateJuly 19, 2012
NPI 1326393935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in NC · HAL-005-015
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
151 VILLAGE PARK DR, West Jefferson, NC 28694

Other Identifiers 1

MedicaidAPPLIED FORNC

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 34D2151106

Forest Ridge Assisted Living · West Jefferson, NC
Active · expires Jul 11, 2028
CLIA Number34D2151106
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 12, 2026
Certificate Expiration DateJuly 11, 2028
Laboratory DirectorAmanda D. Calloway
Laboratory Phone(336) 846-1008
Laboratory LocationForest Ridge Assisted Living151 Village Park Drive, West Jefferson, NC 28694
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Custodial Care Facility (Adult Care Home)
151 VILLAGE PARK DR
WEST JEFFERSON, NC 28694
Custodial Care Facility (Adult Care Home)
151 VILLAGE PARK DR
WEST JEFFERSON, NC 28694

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 Forest Ridge Assissted Living, LLC's NPI number?

The NPI number for Forest Ridge Assissted Living, LLC is 1326393935. It was assigned to this organization in the NPPES registry on July 19, 2012.

Where is Forest Ridge Assissted Living, LLC located?

Forest Ridge Assissted Living, LLC is located at 151 Village Park Dr, West Jefferson, NC 28694. The listed phone number is (336) 846-1008.

What is Forest Ridge Assissted Living, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Forest Ridge Assissted Living, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2151106) is associated with this NPI, valid through July 11, 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 Forest Ridge Assissted Living, LLC was last updated on July 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.