# RIDGECREST SNF OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LEGACY POINTE REHABILITATION CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649897521
- **Authorized official:** MR. CHADD M RUSSELL (ADMINISTRATOR/COO)
- **Authorized official phone:** (402) 455-6636

## Contact information

- **Practice address:** 3110 SCOTT CIR, OMAHA, NE 68112-2604
- **Practice address phone:** (402) 455-6636
- **Mailing address:** 1195 RAILROAD AVE, HEWLETT, NY 11557-2316
- **Mailing address phone:** (516) 855-5504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/26/2020
- **Last updated:** 11/24/2020
