RIDGEWOOD RLC LLC
NPI 1851474274
Skilled Nursing Facility in Washington, NC

Active since October 21, 2006CLIA 34D1096172 · Waiver
1624 HIGHLAND DRIVE, WASHINGTON, NC 27889(252) 946-9570(252) 946-3715 Get Directions Write a Review

NPPES record last updated: November 8, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ridgewood Rlc Llc NPPES

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

RIDGEWOOD RLC LLC (NPI 1851474274) is a healthcare organization registered as a skilled nursing facility in Washington, North Carolina and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through February 25, 2027 and lists Michael L Kelly, Administrator, as its authorized official.

NPPES Registry Identity

NPI1851474274
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameRIDGEWOOD RLC LLC
Location Address1624 HIGHLAND DRIVEWashington, NC 27889
Mailing AddressPo Box 1868, 1624 Highland DriveWashington, NC 27889 · (252) 946-9570 · Fax (252) 946-3715
Fax(252) 946-3715
Organization SubpartNo
Authorized OfficialMichael L KellyAdministrator · (252) 946-9570
Enumeration DateOctober 21, 2006
Last NPPES UpdateNovember 8, 2010
NPI 1851474274 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 NC · NH0387
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.
1624 HIGHLAND DRIVE, Washington, NC 27889

Other Identifiers 4

Other3406346NC · Medicaid Icf
Medicare ID-Type Unspecified345228NC
Medicaid3415228NC
Other00966NC · Blue Cross Blue Shield

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 34D1096172

Ridgewood Manor · Washington, NC
Active · expires Feb 25, 2027
CLIA Number34D1096172
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateFebruary 26, 2025
Certificate Expiration DateFebruary 25, 2027
Laboratory DirectorLisa Hartley
Laboratory Phone(252) 946-9570
Laboratory LocationRidgewood Manor1624 Highland Drive, Washington, NC 27889
CLIA data matches this NPI record on: Address Phone
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 Ridgewood Rlc LLC's NPI number?

The NPI number for Ridgewood Rlc LLC is 1851474274. It was assigned to this organization in the NPPES registry on October 21, 2006.

Where is Ridgewood Rlc LLC located?

Ridgewood Rlc LLC is located at 1624 Highland Drive, Washington, NC 27889. The listed phone number is (252) 946-9570.

What is Ridgewood Rlc LLC's specialty?

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

Does Ridgewood Rlc LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D1096172) is associated with this NPI, valid through February 25, 2027. 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 Rlc LLC was last updated on November 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.