Lebanon County Commissioners

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

290702 Issued in PA

Legal business name

LEBANON COUNTY COMMISSIONERS

Doing business as

Cedar Haven Nursing Home

Practice address

590 S 5TH Ave
Lebanon, PA 17042-9195

Phone

(717) 274-0421

Fax

(717) 274-5501

NPI assigned

Aug 3, 2006

Last updated

Apr 20, 2012By 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

Mr. Edward W. Schlegel Jr., N.H.A.

Title

Aministrator

Phone

(717) 274-0421

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Cedar Haven Nursing Home Doing business as

Tax ID family

Cedar Haven Acquisition 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.

• Cedar Haven Acquisition LLC

  dba Cedar Haven Healthcare Center

  • Skilled Nursing Facility
  • Lebanon, PA
  • NPI 1649689423
  NPD tax ID

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1881602332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 S 5TH AVE",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170429195",
            "telephone_number": "717-274-0421",
            "fax_number": "717-274-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 S 5TH AVE",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170429195",
            "telephone_number": "717-274-0421",
            "fax_number": "717-274-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON COUNTY COMMISSIONERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "SCHLEGEL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "AMINISTRATOR",
        "authorized_official_telephone_number": "717-274-0421",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "N.H.A."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "290702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000048620009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "395093",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Haven Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lebanon County Commissioners
• Lebanon County Commissioners
• Lebanon County Commissioners
• Lebanon County Commissioners
• Lebanon County Commissioners
• Lebanon County Commissioners
• Lebanon County Hearing Aid Center (Miracle Ear)
• Lebanon Dent Cornwall, LLC (Lebanon Dental Cornwall)
• Lebanon Emergency Medical Associates PLLC
• Lebanon Emergency Physicians PC

• Skilled Nursing Facility in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.