Cedar Crest

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

182-19 Issued in WI

Legal business name

CEDAR CREST

Practice address

1072 S River Road
Janesville, WI 53546-5648

Phone

(608) 373-6322

NPI assigned

Nov 14, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Emily Martin

Title

Program Director

Phone

(608) 373-6322

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1013347830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 S RIVER ROAD",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "53546",
            "telephone_number": "608-373-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 S RIVER ROAD",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535465648",
            "telephone_number": "608-373-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "608-373-6322"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "182-19",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Rose Cater, LPC-IT
• Tawaun Travelle Cates, SAC-IT
• Catholic Charities, Inc. Roman Catholic Diocese
• Kirstin Ann Catlin-Friedrich, DENTAL HYGIENIST
• Andrea R Cavey, M.D.
• Cedar Crest, Inc.
• Mary Katherine Cefalu, R.N.
• Heather L Chady, APNP, RN
• Krishna Teja Challa, MD
• Benjamin Chao, D.O.

• Assisted Living Facility in Janesville, WI
• Providers in Janesville, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.