NPIMap

Organization Active NPI

Cedar Creek Assisted Living

  • Assisted Living Facility
  • Pikeville, KY
National Provider Identifier
1215260880
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
20011109801 Issued in KY
Legal business name
CEDAR CREEK ASSISTED LIVING
Practice address
156 Winston Drive
Pikeville, KY 41501
Phone
(606) 432-8243
Fax
(606) 433-9805
NPI assigned
Sep 14, 2009
Organization subpart
Yes
Parent organization
PRESBYTERIAN HOMES & SERVICES OF KENTUCKYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Authorized official

Name
Mrs. Lavinia A O'Connor
Title
A/R Manager
Phone
(502) 259-9101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 20011109801 KY Primary

Addresses

Primary practice location

156 Winston Drive
Pikeville, KY 41501

Mailing address

P.O. Box 18067
Louisville, KY 40261-0067
Phone (502) 259-9101

Other identifiers 1

IdentifierTypeStateIssuer
20011109801OtherKYASSISTED LIVING COMMUNITY CERTIFICATION

National Provider Directory

National Provider Directory
Tax ID family
Presbyterian Homes SVC Ky5 organizations share this tax ID, including this one
Part of
Presbyterian Homes SVC Ky

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1215260880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 18067",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402610067",
            "telephone_number": "502-259-9101",
            "fax_number": "502-259-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WINSTON DRIVE",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "41501",
            "telephone_number": "606-432-8243",
            "fax_number": "606-433-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREEK ASSISTED LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESBYTERIAN HOMES & SERVICES OF KENTUCKY",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "LAVINIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "A/R MANAGER",
        "authorized_official_telephone_number": "502-259-9101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KY",
            "license": "20011109801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSISTED LIVING COMMUNITY CERTIFICATION",
            "identifier": "20011109801",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.