Provider Demographics
NPI:1811869597
Name:RIDGECROFT RESIDENCE INC
Entity type:Organization
Organization Name:RIDGECROFT RESIDENCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DRE'A
Authorized Official - Middle Name:
Authorized Official - Last Name:PENDLETON
Authorized Official - Suffix:
Authorized Official - Credentials:RN,MSN
Authorized Official - Phone:443-438-5377
Mailing Address - Street 1:3908 RIDGECROFT RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-5028
Mailing Address - Country:US
Mailing Address - Phone:443-438-5377
Mailing Address - Fax:443-869-2428
Practice Address - Street 1:3908 RIDGECROFT RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21206-5028
Practice Address - Country:US
Practice Address - Phone:443-438-5377
Practice Address - Fax:443-869-2428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility