Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
VIDELL HEALTHCARE DUFFIELD LLC
Active
Organization
VIDELL HEALTHCARE DUFFIELD LLC
Active
Other names
Ridgecrest Manor Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN D MACE RN DCS (EXEC VICE PRES)
(253) 277-3197
Entity
Organization
Contact information
Practice address
157 ROSS CARTER BLVD, DUFFIELD, VA 24244-5116
(276) 431-2841
(276) 431-2345
Mailing address
157 ROSS CARTER BLVD, DUFFIELD, VA 24244-0280
(276) 431-2841
(276) 431-4718
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH2664
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4951344
—
VA
05
—
4960386
—
VA
Enumeration date
07/26/2006
Last updated
11/15/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers