NPI Code Details Logo

NPI 1295646438

NPI 1295646438 : RIDGELINE CARE NETWORK INC : RALEIGH, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1295646438
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    RIDGELINE CARE NETWORK INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/16/2026
-----------------------------------------------------
    Last Update Date     |    09/16/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5540 CENTERVIEW DR 
-----------------------------------------------------
    City                 |    RALEIGH
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    27606-3363
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    984-375-5300
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    500 WESTOVER DR STE 37848 
-----------------------------------------------------
    City                 |    SANFORD
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    27330-8941
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    984-375-5300
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     CHAD  NEISWONGER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    336-743-2423
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    171M00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Manager/Care Coordinator
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.