Healthcare Provider Details

I. General information

NPI: 1992642177
Provider Name (Legal Business Name): RIDGE HOUSE, INCORPORATED.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 W 1ST ST
RENO NV
89503-5534
US

IV. Provider business mailing address

900 W 1ST ST STE 200
RENO NV
89503-5587
US

V. Phone/Fax

Practice location:
  • Phone: 775-322-8941
  • Fax: 775-399-6705
Mailing address:
  • Phone: 775-322-8941
  • Fax: 775-399-6705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: LINDA G LOWMAN
Title or Position: OFFICE MANAGER
Credential:
Phone: 775-842-6661