Organization Active NPI

Cedar Hills Arc, Inc.

  • Adult Care Home Facility
  • Yakima, WA
National Provider Identifier
1053583617
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
CEDAR HILLS ARC, INC.
Practice address
1603 Drake CT
Yakima, WA 98902-6135
Phone
(509) 457-6954
Fax
(509) 249-1167
NPI assigned
Mar 24, 2008
Last updated
Apr 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Mr. John O. Reese Jr., NAR
Title
President
Phone
(509) 457-6954

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X WA Primary

Addresses

Primary practice location

1603 Drake CT
Yakima, WA 98902-6135

Mailing address

1603 Drake CT
Yakima, WA 98902-6135
Phone (509) 457-6954

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1053583617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 DRAKE CT",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026135",
            "telephone_number": "509-457-6954",
            "fax_number": "509-249-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 DRAKE CT",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989026135",
            "telephone_number": "509-457-6954",
            "fax_number": "509-249-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HILLS ARC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-457-6954",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "NAR"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.