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RIDGEWOOD SENIOR LIVING AT HISTORIC SMITHVILLE, LLC
NPI 1376343376
Assisted Living Facility in Galloway, NJ

Active since March 18, 2025CLIA 31D2307906 · Waiver
705 E MOSS MILL RD, GALLOWAY, NJ 08205(609) 746-1700 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ridgewood Senior Living At Historic Smithville, Llc NPPES

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

RIDGEWOOD SENIOR LIVING AT HISTORIC SMITHVILLE, LLC (NPI 1376343376), doing business as Ridgewood Senior Living At Historic Smithville, is a healthcare organization registered as an assisted living facility in Galloway, New Jersey and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through July 16, 2028 and lists Charles Dixon, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1376343376
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameRIDGEWOOD SENIOR LIVING AT HISTORIC SMITHVILLE, LLC
Location Address705 E MOSS MILL RDGalloway, NJ 08205-4219
Mailing Address705 E Moss Mill RdGalloway, NJ 08205-4219 · (609) 573-9607
Phone(609) 746-1700
Organization SubpartNo
Authorized OfficialCharles DixonExecutive Director · (609) 746-1700
Enumeration DateMarch 18, 2025
NPPES CertifiedMarch 18, 2025
✔ NPI 1376343376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
705 E MOSS MILL RD, Galloway, NJ 08205
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Other Names 1

Doing Business AsRidgewood Senior Living At Historic Smithville

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 31D2307906

Ridgewood Senior Living At Historic Smithville, LLC · Galloway Township, NJ
Active · expires Jul 16, 2028
CLIA Number31D2307906
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 17, 2026
Certificate Expiration DateJuly 16, 2028
Laboratory DirectorCharles W. Dixon
Laboratory Phone(609) 746-1700
Laboratory LocationRidgewood Senior Living At Historic Smithville, LLC705 East Moss Mill Road, Galloway Township, NJ 08205
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

LISA ANN LANGE
Physical Therapist
705 E MOSS MILL RD
GALLOWAY, NJ 08205
Atlantic County (609) 867-1585
MARISSA MANERA MOT
Occupational Therapist
705 E MOSS MILL RD
GALLOWAY, NJ 08205
Atlantic County (609) 746-1700
MRS. SARALYN M SOTO PT DPT
Physical Therapist
705 E MOSS MILL RD
GALLOWAY, NJ 08205
Atlantic County (609) 378-1807
VICTORIA SHEERAN
Speech-Language Pathologist
705 E MOSS MILL RD
GALLOWAY, NJ 08205
Atlantic County (609) 746-1700

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 Ridgewood Senior Living At Historic Smithville, LLC's NPI number?

The NPI number for Ridgewood Senior Living At Historic Smithville, LLC is 1376343376. It was assigned to this organization in the NPPES registry on March 18, 2025. The provider is doing business as Ridgewood Senior Living at Historic Smithville.

Where is Ridgewood Senior Living At Historic Smithville, LLC located?

Ridgewood Senior Living At Historic Smithville, LLC is located at 705 E Moss Mill Rd, Galloway, NJ 08205. The listed phone number is (609) 746-1700.

What is Ridgewood Senior Living At Historic Smithville, LLC's specialty?

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

Does Ridgewood Senior Living At Historic Smithville, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2307906) is associated with this NPI, valid through July 16, 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 Ridgewood Senior Living At Historic Smithville, LLC was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.