Cedar Senior Living, LLC.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CEDAR SENIOR LIVING, LLC.

Practice address

670 Cedar Lake LN
Clinton, NC 28328-8986

Phone

(910) 703-3424

NPI assigned

Apr 15, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Jacqueline A Allen-Gunn

Title

Owner

Phone

(910) 703-3424

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1306465745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 CEDAR LAKE LN",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283288986",
            "telephone_number": "910-703-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 CEDAR LAKE LN",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283288986",
            "telephone_number": "910-703-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR SENIOR LIVING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "ALLEN-GUNN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-703-3424",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHHSR LICENSE",
            "identifier": "A00002294",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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