Cedar Valley LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CEDAR VALLEY LLC

Practice address

4103 Baird LN
Crandall, TX 75114-0255

Phone

(929) 406-8008

NPI assigned

Jul 8, 2024

Last updated

Jul 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bukola Alabede

Title

Director

Phone

(929) 406-8008

Specialties & licenses 5

Addresses

Other names 1

• Cedar Valley Healthcare Other name

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1508602640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 BAIRD LN",
            "city": "CRANDALL",
            "state": "TX",
            "postal_code": "751140255",
            "telephone_number": "929-406-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 BAIRD LN",
            "city": "CRANDALL",
            "state": "TX",
            "postal_code": "751140255",
            "telephone_number": "929-406-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "ALABEDE",
        "authorized_official_first_name": "BUKOLA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "929-406-8008"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Valley Healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cindy Bullard, LPC ASSOCIATE
• Peggy Sue Bullard
• Kenard Burley
• Meredith A Byington, MD
• Gabrielle Caruso Hutchings, LPC
• Jennifer Clearman, APRN, CPNP
• Douglas Joe Cornish, DMD
• Jessica O Cowan
• Crandall Independent School District (Crandall ISD)
• Jason Kyle Daugherty, LAT, ATC

• Home Health Agency in Crandall, TX
• Providers in Crandall, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.