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Organization
RIDGELINE HEALTH, INC.
Active
Organization
RIDGELINE HEALTH, INC.
Active
Other names
Ridgeline, CrossPeaks Services, Inc., Ridgeline Pediatric Day Health and Respite Services, Ridgeline - Grass Valley, Ridgeline Pediatric
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LYMAN MS (PRESIDENT/CEO/CO-FOUNDER)
(435) 881-6338
Entity
Organization
Contact information
Practice address
11270 ROUGH AND READY HWY, GRASS VALLEY, CA 95945-8530
(530) 477-3378
(530) 477-7068
Mailing address
22120 W HACIENDA DR, GRASS VALLEY, CA 95949-8333
(435) 881-6338
(530) 477-7068
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
550000017
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EPSP00110
MEDI-CAL PROVIDER NUMBER
CA
01
—
HA0890
ALTA CALIFORNIA REGIONAL CENTER
CA
Enumeration date
01/16/2007
Last updated
04/16/2026
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