Provider Demographics
NPI:1215970009
Name:HEALTH RESOURCES OF RIDGEWOOD, LLC
Entity type:Organization
Organization Name:HEALTH RESOURCES OF RIDGEWOOD, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CORPORATE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:DROPESKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-925-4045
Mailing Address - Street 1:101 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3109
Mailing Address - Country:US
Mailing Address - Phone:610-925-4436
Mailing Address - Fax:610-925-4351
Practice Address - Street 1:330 FRANKLIN TPKE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-1932
Practice Address - Country:US
Practice Address - Phone:201-447-1900
Practice Address - Fax:201-447-8957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ060215314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
317111OtherUS FAMILY HEALTH PLAN
0004229000OtherAMERIHEALTH
NJ02310Medicaid
315158OtherHORIZION - SNF
A382349OtherOXFORD HEALTH PLANS
000848OtherHORIZION - SUB
2176699OtherAETNA-HMO
4464303OtherUNISYS #
000848OtherHORIZION - SUB
=========OtherAETNA-NONHMO
=========OtherCIGNA-NJ
A382349OtherOXFORD HEALTH PLANS
317111OtherUS FAMILY HEALTH PLAN
=========OtherHCPC
NJ02310Medicaid
=========OtherHNFS-TRICARE