Cedarhurst of Quincy Operator, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

CEDARHURST OF QUINCY OPERATOR, LLC

Practice address

319 S 48TH St
Quincy, IL 62305-0593

Phone

(217) 577-2019

NPI assigned

Sep 20, 2020

Organization subpart

No

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

Authorized official

Name

Jessica Griffin

Title

Controller

Phone

(314) 884-2000

Specialties & licenses 1

Addresses

Tax ID family

Cedarhurst of Quincy Operator LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cedarhurst of Quincy Operator, LLC

  • Assisted Living Facility
  • Quincy, IL
  • NPI 1447884630
  NPD tax ID

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600560000000",
    "number": "1780290288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HUNTER AVE STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S 48TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623050593",
            "telephone_number": "217-577-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARHURST OF QUINCY OPERATOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-20",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-20",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "314-884-2000"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ann Carter, L.C.S.W.
• Jaden Cassens, LSW
• CBM Therapy LLC
• Charlotte Cearlock
• Cedarhurst of Quincy Operator, LLC
• Centerstone of Illinois, Inc
• Centerstone of Illinois, Inc
• Centerstone of Illinois, Inc
• Chaddock
• Chaddock

• Alzheimer Center (Dementia Center) in Quincy, IL
• Providers in Quincy, IL by specialty
• Alzheimer Center (Dementia Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2020; 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.