Organization · Type 2 NPI

Ridgeline Health, Inc.

Pediatric Skilled Nursing Facility · Grass Valley, CA

NPI number 1053463752 Active

Practice location

11270 Rough And Ready Hwy
Grass Valley, CA 95945-8530

Call (530) 477-3378 Map

Fax (530) 477-7068

Mailing address

22120 W Hacienda Dr
Grass Valley, CA 95949-8333

Specialties and licenses

Taxonomy	Code	License
Pediatric Skilled Nursing Facility Primary	3140N1450X	550000017 (CA)

Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.

2 other providers at this address

NPI record

NPI: 1053463752
Entity type: Organization (Type 2)
Issued: Jan 16, 2007
Last updated: Apr 16, 2026
Status: Active

Other names

<unavail>
Ridgeline · doing business as
Ridgeline - Grass Valley · doing business as
Ridgeline Pediatric · doing business as
Ridgeline Pediatric Day Health and Respite Services · doing business as
Ridgeline Pediatric Day Health and Respite Services · doing business as
Crosspeaks Services, Inc. · former legal business name

Authorized official

Michael Lyman, MS
President/ceo/co-Founder
(435) 881-6338

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053463752

Ridgeline Health, Inc.'s National Provider Identifier is 1053463752, issued on Jan 16, 2007. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Grass Valley, CA. The record was last updated on Apr 16, 2026.