NPIMap

Organization Active NPI

Cedar Living Center

  • Nursing Facility/Intermediate Care Facility
  • Oberlin, KS
National Provider Identifier
1104262146
Registry record updated May 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
H020101 Issued in KS
Legal business name
CEDAR LIVING CENTER
Practice address
810 W Columbia St
Oberlin, KS 67749-2450
Phone
(785) 475-2208
Fax
(785) 475-2453
NPI assigned
May 17, 2013
Organization subpart
Yes
Parent organization
DECATUR HEALTH SYSTEMS INCAs reported in NPPES

National Provider Directory

National Provider Directory
Tax ID family
Decatur Health Systems Inc4 organizations share this tax ID, including this one
Part of
Decatur Health Systems Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPPES NPI Registry

Updated by the provider on May 17, 2013

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

Authorized official

Name
Mr. Johnathan Owens
Title
Chief Executive Officer
Phone
(785) 475-2208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X H020101 KS Primary

Addresses

Primary practice location

810 W Columbia St
Oberlin, KS 67749-2450

Mailing address

810 W Columbia St
Oberlin, KS 67749-2450
Phone (785) 475-2208

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368748800000",
    "number": "1104262146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W COLUMBIA ST",
            "city": "OBERLIN",
            "state": "KS",
            "postal_code": "677492450",
            "telephone_number": "785-475-2208",
            "fax_number": "785-475-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W COLUMBIA ST",
            "city": "OBERLIN",
            "state": "KS",
            "postal_code": "677492450",
            "telephone_number": "785-475-2208",
            "fax_number": "785-475-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR LIVING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DECATUR HEALTH SYSTEMS INC",
        "enumeration_date": "2013-05-17",
        "last_updated": "2013-05-17",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JOHNATHAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "785-475-2208",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": "H020101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oberlin, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.