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CEDARCREST INC. NPI 1699897215


NPI Information

NPI: 1699897215
Provider Name: CEDARCREST, INC.
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization

CLIA Number: 30D2041628

Address:
91 MAPLE AVE
KEENE, NH
ZIP 03431
Phone: (603) 358-3384
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CEDARCREST, INC. is a residential treatment facility, intellectual and/or developmental disabilities in Keene, NH. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. CEDARCREST, INC. NPI is 1699897215. The provider is registered as an organization entity type.

The provider's business location address is:

91 MAPLE AVE
KEENE, NH
ZIP 03431-629
Phone: (603) 358-3384
Fax: (603) 358-6485

The provider's authorized official is Scott Q. Adams .
The authorized official title is Cfo and has the following contact phone number (603) 385-3384.

The CLIA number assigned to this NPI record is 30D2041628 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 8/22/2020.


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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities1709NEW HAMPSHIREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
180848084MEDICAIDNEW HAMPSHIRE
2030G001MEDICAIDVERMONT

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.