# DALLAS COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ridgecrest Healthcare and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023339900
- **Authorized official:** FREDERICK P CERISE (PRESIDENT & CEO)
- **Authorized official phone:** (214) 590-8006

## Contact information

- **Practice address:** 561 RIDGECREST RD, FORNEY, TX 75126-0146
- **Practice address phone:** (972) 552-2420
- **Practice address fax:** (972) 552-2481
- **Mailing address:** 561 RIDGECREST RD, FORNEY, TX 75126-0146
- **Mailing address phone:** (972) 552-2420
- **Mailing address fax:** (972) 552-2481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 139550 | TX | Yes |

## Other

- **Enumeration date:** 06/15/2010
- **Last updated:** 03/24/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001018949 | — | TX |