Cedar Ridge Healthcare System LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

782812 Issued in TX

Legal business name

CEDAR RIDGE HEALTHCARE SYSTEM LLC

Practice address

7231 Tolosa
Grand Prairie, TX 75054-6740

Phone

(925) 413-6139

Fax

(817) 592-3271

NPI assigned

Jan 15, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Emmanuel O Akara, MBA, RN

Title

Director

Phone

(925) 413-6139

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1275870982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 TOLOSA",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750546740",
            "telephone_number": "925-413-6139",
            "fax_number": "817-592-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 TOLOSA",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750546740",
            "telephone_number": "925-413-6139",
            "fax_number": "817-592-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RIDGE HEALTHCARE SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "AKARA",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "925-413-6139",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA, RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "782812",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "TX",
            "license": "782812",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.