Cedar Care Center, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

414360 Issued in MI

Legal business name

CEDAR CARE CENTER, INC

Practice address

400 Jeffery St
Cedar Springs, MI 49319-9572

Phone

(616) 696-0170

Fax

(616) 696-4884

NPI assigned

Sep 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. J Lindsey Dood

Title

Cfo

Phone

(616) 975-5287

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1780678367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 PLAINFIELD AVENUE NE",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49525",
            "telephone_number": "616-957-3975",
            "fax_number": "616-957-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 JEFFERY ST",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493199572",
            "telephone_number": "616-696-0170",
            "fax_number": "616-696-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "DOOD",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "LINDSEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "616-975-5287",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MI",
            "license": "414360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1786240",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abby Briggs
• Jenica Buchner
• Grant James Buck, D.C.
• Mica Campbell, PTA-L
• Christian Cantrell
• Cedar Rock Healing & Wellness, LLC
• Cedar Springs Dental PLLC
• Cedar Springs Eye Care Inc
• Cedar Springs Family Chiropractic Inc.
• Cedar Springs Pharmacy, LLC

• All providers in Cedar Springs, MI
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.