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CEDAR RIDGE CARE CENTER LLC NPI 1255736518


NPI Information

NPI: 1255736518
Provider Name: CEDAR RIDGE CARE CENTER, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 26D1059110

Address:
71 SYCAMORE ST
CASSVILLE, MO
ZIP 65625
Phone: (417) 847-5546
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CEDAR RIDGE CARE CENTER, LLC is an assisted living facility in Cassville, MO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CEDAR RIDGE CARE CENTER, LLC NPI is 1255736518. The provider is registered as an organization entity type.

The provider's business location address is:

71 SYCAMORE ST
CASSVILLE, MO
ZIP 65625-755
Phone: (417) 847-5546
Fax: (417) 847-8826

The provider's authorized official is Mary Howlett .
The authorized official title is Owner and has the following contact phone number (573) 855-9088.

The CLIA number assigned to this NPI record is 26D1059110 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2014 and was last updated on 10/29/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility040818MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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