Cedar Mountain House LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-088-009 Issued in NC

Legal business name

CEDAR MOUNTAIN HOUSE LLC

Practice address

11 Sherwood Ridge Rd
Brevard, NC 28712-6558

Phone

(828) 884-9510

Fax

(828) 884-3920

NPI assigned

Jan 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Charles E Trefzger Jr.

Title

Manager

Phone

(828) 324-8898

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cedar Mountain House Doing business as

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831247006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2568",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286032568",
            "telephone_number": "828-324-8898",
            "fax_number": "828-322-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SHERWOOD RIDGE RD",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287126558",
            "telephone_number": "828-884-9510",
            "fax_number": "828-884-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR MOUNTAIN HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TREFZGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-324-8898",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-088-009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805679",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Mountain House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolina Spine&Neurosurgery Center PA
• Gregory Edward Carter, MD
• Anna Katherine Cascio, ND
• Karen O'Neill Casey, NP
• Catherine Dubose Prather-Loewen
• Center for Spine and Joint Wellness, P.a.
• Patricia P Champion
• Justin B Chang, DDS
• Charles D. Lefler M.D. ,P.a
• Marco Chavarria-Aguilar, MD

• All providers in Brevard, NC
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.