Cedar Breeze Medical Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

6357516 Issued in TN

Legal business name

CEDAR BREEZE MEDICAL CARE LLC

Practice address

12414 Stewarts Ferry Pike
Lebanon, TN 37090-0896

Phone

(615) 369-6500

NPI assigned

Dec 9, 2010

Last updated

Dec 9, 2010By 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

George Holburn, NPNPI 1326287814

Title

Nurse Practioner

Phone

(615) 369-6500

Specialties & licenses 1

Addresses

Practitioners 1

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.

• George Holburn, ANP

  • Adult Health Nurse Practitioner
  • Hendersonville, TN
  • NPI 1326287814
  NPD (past) Authorized official

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

{
    "created_epoch": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1699078824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6207",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385836207",
            "telephone_number": "615-369-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12414 STEWARTS FERRY PIKE",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370900896",
            "telephone_number": "615-369-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR BREEZE MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "HOLBURN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "NURSE PRACTIONER",
        "authorized_official_telephone_number": "615-369-6500",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "6357516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John E Casilli, APN
• Tabitha Anne Casilli, M.D.
• Hannah Elizabeth Cassetty, PMHNP
• Amanda Michelle Caudill
• CDS Ventures, LLC
• Cedar Recovery Center of Middle Tennessee, LLC
• Cedar Recovery of Middle Tennessee, LLC (CedarRx)
• Cedars Nursing Home Inc. (Quality Care Investors)
• Centerwell Senior Primary Care TN PC (CenterWell Senior Primary Care-Lebanon)
• Chad T Price MD PC

• Home Health Agency in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Home Health Agency in Tennessee

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