Cedar Hill Nursing & Rehab, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

036145 Issued in MO

Legal business name

CEDAR HILL NURSING & REHAB, LLC

Practice address

6400 The Cedars CT
Cedar Hill, MO 63016-2220

Phone

(636) 274-1777

Fax

(636) 274-4041

NPI assigned

Jan 29, 2008

Organization subpart

No

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

Authorized official

Name

James C Lincoln

Title

Owner

Phone

(636) 274-1777

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cedar Ridge Manor Doing business as

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1447437728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 THE CEDARS CT",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "630162220",
            "telephone_number": "636-274-1777",
            "fax_number": "636-274-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 THE CEDARS CT",
            "city": "CEDAR HILL",
            "state": "MO",
            "postal_code": "630162220",
            "telephone_number": "636-274-1777",
            "fax_number": "636-274-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HILL NURSING & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "LINCOLN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-274-1777"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "036145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102334505",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Ridge Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lanna Roberta Brickhaus
• Kristen Brown, MD
• Douglas Anthony Carano, DDS
• Cedar Hill Chiropractic PC
• Cedar Hill Family Medicine, LLC
• Cedar Hill Primary Care LLC
• Cedars Court Healthcare LLC
• Hillarie Christley
• Olivia Cova
• Deborah A Depew, D.O.

• All providers in Cedar Hill, MO
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; 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.