Cedarwood Homer Community LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CEDARWOOD HOMER COMMUNITY LLC

Practice address

46 Cortland St
Homer, NY 13077-1506

Phone

(607) 213-3705

NPI assigned

Dec 18, 2020

Last updated

Dec 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Yede Weiss

Title

Managing Member

Phone

(607) 213-3705

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1104412626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 CORTLAND ST",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 CORTLAND ST",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771506",
            "telephone_number": "607-213-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARWOOD HOMER COMMUNITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "YEDE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "607-213-3705",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DOH",
            "identifier": "210-F-032",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cedarwoodah.com",
            "affiliation": "N",
            "address_1": "46 Cortland St",
            "city": "Homer",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130771506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.