Cedar Creek LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CEDAR CREEK LLC

Doing business as

Ability In Home Care

Practice address

333 Palladium Dr
Saint Joseph, MI 49085-9128

Phone

(269) 429-5551

NPI assigned

Sep 12, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Eric W Stoub

Title

Member

Phone

(269) 757-3778

Specialties & licenses 1

Addresses

Other names 1

• Ability In Home Care Doing business as

Tax ID family

Ability in Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Ability in Home Care

  dba Cedar Creek, LLC

  • Home Health Agency
  • Saint Joseph, MI
  • NPI 1467882886
  NPD tax ID

Locations

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1285984732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 PALLADIUM DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 PALLADIUM DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859128",
            "telephone_number": "269-429-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREEK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "STOUB",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "269-757-3778",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ability In Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clayton T Cashen, O.D.
• Amy A Cassidy
• Melissa J Cassidy, MA CCC-SLP
• Anthony Castelvecchi
• CCHC, LLC (Home Helpers)
• Dan M Chaffee, M.D.
• David E Chalupa, P.A.-C.
• Donna Chambers
• Jeremiah S Chang, DO
• Daniel Adam Charlat, DO

• In Home Supportive Care Agency in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.