Cedarcreek Healthcare & Rehab, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CEDARCREEK HEALTHCARE & REHAB, LLC

Practice address

4121 Tod Ave NW
Warren, OH 44485-1258

Phone

(330) 898-4033

Fax

(330) 898-1407

NPI assigned

Dec 22, 2014

Organization subpart

No

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

Authorized official

Name

Debborah Jones

Title

Member

Phone

(423) 877-2024

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cedarcreek Health & Rehab Doing business as

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1235527409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 TOD AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444851258",
            "telephone_number": "330-898-4033",
            "fax_number": "330-898-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 TOD AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444851258",
            "telephone_number": "330-898-4033",
            "fax_number": "330-898-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARCREEK HEALTHCARE & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DEBBORAH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "423-877-2024"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116362",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedarcreek Health & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Elena Casseday, DO
• Joseph Cataline, MD
• Emily Catchpole, MD
• Stan Catullo, CDCA
• Bryan E Cecil, DC
• Rebecca Cene, NP-C
• Center for Occupational Health, LLC
• Laura J Cesario, FNP-BC
• Rickey Cesco
• Diane Chachko, PHARM.D.

• Skilled Nursing Facility in Warren, OH
• Providers in Warren, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.