CEDAR RIDGE
NPI 1477883924
Skilled Nursing Facility in Skowhegan, ME

NPI Status: Active since January 06, 2010

Contact Information

23 CEDAR RIDGE DR
SKOWHEGAN, ME
ZIP 04976
Phone: (207) 474-9686

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Skilled Nursing Facility
CLIA Number: 20D0681350
CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
CLIA Exp. Date: 08-31-2026

About CEDAR RIDGE

This page provides the complete NPI Profile along with additional information for Cedar Ridge, a provider established in Skowhegan, Maine operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1477883924 assigned on January 2010. The practitioner's primary taxonomy code is 314000000X with license number PA3566 (ME). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Sara Noel Lowe (Pta)

NPI: 1477883924
Provider Name: CEDAR RIDGE
Entity Type: Organization
Location Address: 23 CEDAR RIDGE DR SKOWHEGAN, ME 04976
Location Phone: (207) 474-9686
Mailing Address: 23 CEDAR RIDGE DR SKOWHEGAN, ME 04976
Mailing Phone: (207) 474-9686
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 01-06-2010
Last Update Date: 01-06-2010
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Skilled Nursing Facility
Taxonomy Code: 314000000X
Type: Nursing & Custodial Care Facilities
License No.: PA3566
License State: ME
Taxonomy Description: (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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: SARA NOEL LOWE
Authorized Official Title: PTA
Authorized Official Phone: (207) 474-9686

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 20D0681350
Facility Type: Skilled Nursing Facility/Nursing Facility
Certificate Effective Date: September 01, 2024
Certificate Expiration Date: August 31, 2026
Laboratory Director: SUSAN HOYT-RUSSELL
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Cedar Ridge to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	4	7	7	8	8	3	9	2	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	4	14	7	16	8	6	9	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 6 + 8 + 6 + 9 + 4 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 4									4

The NPI number 1477883924 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

MS. LISA ANNE JACUNSKI PTA

Physical Therapy Assistant

23 CEDAR RIDGE DR
SKOWHEGAN, ME
ZIP 04976

About CEDAR RIDGE

Location Map

Specialty - Primary Taxonomy

Skilled Nursing Facility

Authorized Official

SARA NOEL LOWE

CLIA Information

Reviews for CEDAR RIDGE

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is CEDAR RIDGE's NPI number?

Where is the provider located?

What is the provider's specialty?