Senior Care Cedar Hills LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF10800961 Issued in FL

Legal business name

SENIOR CARE CEDAR HILLS LLC

Practice address

2061 Hyde Park Rd
Jacksonville, FL 32210-3815

Phone

(904) 786-7331

Fax

(904) 786-4034

NPI assigned

Oct 8, 2005

Organization subpart

Yes

Parent organization

ADVOCAT INC.As reported in NPPES

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

Authorized official

Name

Raymond L Tyler Jr.

Title

Executive Vice President and Coo

Phone

(615) 771-7575

Specialties & licenses 1

Addresses

Other names 1

• Cedar Hills Healthcare Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Diversicare Leasing LP

  • Skilled Nursing Facility
  • Martin, TN
  • NPI 1538157664

  Member Of

  NPD member

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

{
    "created_epoch": "1128729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1669460242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 HYDE PARK RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103815",
            "telephone_number": "904-786-7331",
            "fax_number": "904-786-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 HYDE PARK RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103815",
            "telephone_number": "904-786-7331",
            "fax_number": "904-786-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE CEDAR HILLS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVOCAT INC.",
        "enumeration_date": "2005-10-08",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT AND COO",
        "authorized_official_telephone_number": "615-771-7575",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF10800961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Hills Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalia Senchurova
• Albania Sencion, MD
• Zachary Senesac
• Danushka Sanjeewani Seneviratne, MD
• Lisa A Senich, DPT
• Senior Care of NE Florida, LLC.
• Senior Care Transportation, LLC
• Senior Health-First Coast, LLC
• Senior Helper at Home LLC
• Senior Helpers

• Skilled Nursing Facility in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.