Cedar Valley Cypress LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CEDAR VALLEY CYPRESS LLC

Doing business as

Cedar Valley Nursing and Rehabilitation Center

Practice address

225 S Philpot St
Cedartown, GA 30125-3021

Phone

(770) 748-4116

Fax

(770) 748-2938

NPI assigned

Dec 18, 2013

Last updated

Jan 19, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

CYPRESS SKILLED NURSING LLCAs reported in NPPES

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

Authorized official

Name

Isaac Ovits

Title

Manager

Phone

(845) 694-6055

Specialties & licenses 1

Addresses

Other names 1

• Cedar Valley Nursing and Rehabilitation Center Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346661386. Details of each certification follow.

• CCN 115436 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 115436

Legal name

CEDAR VALLEY CYPRESS LLC

Doing business as

CEDAR VALLEY NURSING AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Oct 1, 1989

Last certification

Feb 22, 2024

Beds

100

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

225 S Philpot St
Cedartown, GA 30125-3021

Nursing home name

CEDAR VALLEY NSG & REHAB CTR

Affiliated entity

CYPRESS SKILLED NURSING

Listed as

Cedar Valley NSG & Rehab CtrCCN 115436 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

2 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Oct 1, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10087.8 residents per day on average

Chain

Cypress Skilled Nursing5 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Cedar Valley Cypress LLC2 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.

• CHC - Cedar Valley Nursing & Rehab Ctr, LLC

  dba Cedar Valley Nursing & Rehabilitation Center

  • Skilled Nursing Facility
  • Cedartown, GA
  • NPI 1093711277
  NPD tax ID

Locations

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Xavier C Moore, MD

  • Internal Medicine Physician
  • Stockbridge, GA
  • NPI 1982787297

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Carrollton Cypress LLC

  dba Carrollton Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Carrollton, GA
  • NPI 1891116836

  Cypress Skilled Nursing LLC

  CMS ownership
• Chestnut Ridge Cypress LLC

  dba Chestnut Ridge Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Cumming, GA
  • NPI 1982025920

  Cypress Skilled Nursing LLC

  CMS ownership
• Haralson Cypress LLC

  dba Haralson Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Bremen, GA
  • NPI 1356762322

  Cypress Skilled Nursing LLC

  CMS ownership
• Pine Knoll Cypress LLC

  dba Pine Knoll Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Carrollton, GA
  • NPI 1255752226

  Cypress Skilled Nursing LLC

  CMS ownership
• Social Circle Cypress LLC

  dba Social Circle Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Social Circle, GA
  • NPI 1780005751

  Cypress Skilled Nursing LLC

  CMS ownership
• Universe Cypress LLC

  dba University Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Athens, GA
  • NPI 1497176465

  Cypress Skilled Nursing LLC

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Xavier C Moore, MD

  • Internal Medicine Physician
  • Stockbridge, GA
  • NPI 1982787297
  NPD (past)
• Isi Obadan, MD

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1598992208
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Isi Obadan, MD

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1598992208

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1387324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1346661386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S PHILPOT ST",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301253021",
            "telephone_number": "770-748-4116",
            "fax_number": "770-748-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S PHILPOT ST",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301253021",
            "telephone_number": "770-748-4116",
            "fax_number": "770-748-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR VALLEY CYPRESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CYPRESS SKILLED NURSING LLC",
        "enumeration_date": "2013-12-18",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "OVITS",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "845-694-6055"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Valley Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cedar Valley Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Burris
• Katherine Casey Thomas
• Dede Carol Casey
• Judith Lynn Cathcart
• Cedar Creek Pediatrics (Cedar Creek Pediatrics, P.C.)
• Cedartown Dentistry P.C.
• Cedartown Radiology Group
• CHC - Cedar Valley Nursing & Rehab Ctr, LLC (Cedar Valley Nursing & Rehabilitation Center)
• Anugra Ashwinbhai Chhaya, DPT
• Jessica Miranda Chisenall

• Skilled Nursing Facility in Cedartown, GA
• Providers in Cedartown, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.