Organization Active NPI

Cedar Hill Nursing Home, Inc.

Doing business as Cedar Hill Healthcare Center

  • Skilled Nursing Facility
  • Cedar Hill, TX
National Provider Identifier
1447491923
Registry record updated Jun 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CEDAR HILL NURSING HOME, INC.
Doing business as
Cedar Hill Healthcare Center
Practice address
230 S Clark Rd
Cedar Hill, TX 75104-2750
Phone
(972) 291-7877
Fax
(972) 293-1273
NPI assigned
Mar 13, 2009
Last updated
Jun 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2009

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

Authorized official

Name
Carolyn Goodman
Title
President
Phone
(817) 457-8797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X TX Primary

Addresses

Primary practice location

230 S Clark Rd
Cedar Hill, TX 75104-2750

Mailing address

121 NE Loop 820
Suite 300
Hurst, TX 76053-7375
Phone (817) 457-8797

Other identifiers 2

IdentifierTypeStateIssuer
005101OtherTXFACILITY ID
001016998MedicaidTX

Other names 1

  • Cedar Hill Healthcare Center Doing business as

National Provider Directory

National Provider Directory

Locations

121 NE Loop 820
Ste 300
Hurst, TX 76053

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1447491923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NE LOOP 820",
            "address_2": "SUITE 300",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760537375",
            "telephone_number": "817-457-8797",
            "fax_number": "817-457-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S CLARK RD",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042750",
            "telephone_number": "972-291-7877",
            "fax_number": "972-293-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HILL NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-457-8797"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID",
            "identifier": "005101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001016998",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Hill Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.