RIDECREST HEALTHCARE
NPI 1316297013
Skilled Nursing Facility in Phoenix, AZ
NPI Status: Active since September 11, 2012
Contact Information
16640 N 38TH ST
PHOENIX, AZ
ZIP 85032
Phone: (602) 482-6671
Fax: (602) 482-3541
- Organization
- Skilled Nursing Facility
- Accepts Insurance
- CLIA Number: 03D0872501
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 06-29-2025
About RIDECREST HEALTHCARE
This page provides the complete NPI Profile along with additional information for Ridecrest Healthcare, a provider established in Phoenix, Arizona operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1316297013 assigned on September 2012. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's is doing business as Ridecrest Healthcare. The authorized official of this NPI record is Lee Samson (Managing Member, Windsor Omg Holdin)
- NPI
- 1316297013
- Provider Legal Name
- WINDSOR RIDGECREST, LLC
- Other Organization Name
- RIDECREST HEALTHCARE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 16640 N 38TH ST PHOENIX, AZ 85032
- Location Phone
- (602) 482-6671
- Location Fax
- (602) 482-3541
- Mailing Address
- 9200 SUNSET BLVD. SUITE 700 C/O S&F MANAGEMENT COMPANY, LLC, WEST HOLLYWOOD, CA 90069
- Mailing Phone
- (310) 385-1076
- Mailing Fax
- (602) 482-3541
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-11-2012
- Last Update Date
- 04-30-2013
- Code Navigator
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
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 035125 | MEDICARE OSCAR/CERTIFICATION (06) | AZ |
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
- 03D0872501
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- June 30, 2023
- Certificate Expiration Date
- June 29, 2025
- Laboratory Director
- WILLIAM NASSOUR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ridecrest Healthcare 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.
Reviews for RIDECREST HEALTHCARE
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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 | 3 | 1 | 6 | 2 | 9 | 7 | 0 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 4 | 9 | 14 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 4 + 9 + 1 + 4 + 0 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1316297013 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275521627 | SLO RIDGECREST LLC Organization | Skilled Nursing Facility | 16640 N 38TH ST PHOENIX, AZ 85032 (602) 482-6671 |
| 1336613629 | TAHLEA F CAPPS Individual | Physical Therapy Assistant | 16640 N 38TH ST PHOENIX, AZ 85032 (602) 482-6671 |
| 1538628276 | MYCHAL LEAUPEPE Individual | Physical Therapy Assistant | 16640 N 38TH ST PHOENIX, AZ 85032 (602) 482-6671 |
| 1699430231 | WENDY LAWES COTA Individual | Occupational Therapy Assistant | 16640 N 38TH ST PHOENIX, AZ 85032 (702) 343-4953 |
| 1487313219 | JORDAN JONES Individual | Occupational Therapist (Gerontology) | 16640 N 38TH ST PHOENIX, AZ 85032 (602) 482-6671 |
| 1720799810 | RIDGECREST COMMUNITY HEALTHCARE, LLC Organization | Skilled Nursing Facility | 16640 N 38TH ST PHOENIX, AZ 85032 (602) 482-6671 |
| 1821697913 | KAYLEE CAUDILL Individual | Physical Therapist | 16640 N 38TH ST PHOENIX, AZ 85032 (602) 482-6671 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316297013, enumerated in the NPI registry as an "organization" on September 11, 2012
The provider is located at 16640 N 38th St Phoenix, Az 85032 and the phone number is (602) 482-6671
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 03D0872501 for a "skilled nursing facility/nursing facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on September 11, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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