Cedars Dda Group Home

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

MHL-001-083 Issued in NC

Legal business name

CEDARS DDA GROUP HOME

Doing business as

Cedar's Dda Home

Practice address

838 Ross St
Burlington, NC 27217-1651

Phone

(336) 580-0550

NPI assigned

Mar 28, 2007

Last updated

Mar 27, 2024By 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

Thomas Watlington

Title

Manager

Phone

(336) 580-0550

Specialties & licenses 1

Addresses

Other names 1

• CEDAR'S DDA HOME Doing business as

Tax ID family

Ashley's Family Care2 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.

• Tal Services, LLC

  dba Ashley's Family Care

  • Assisted Living Facility
  • Burlington, NC
  • NPI 1093020596
  NPD tax ID

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1962521070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 ROSS ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272171651",
            "telephone_number": "336-580-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 ROSS ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272171651",
            "telephone_number": "336-580-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDARS DDA GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "WATLINGTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-580-0550"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "MHL-001-083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CEDAR'S DDA HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pauletta Cates, RN
• Cathy Johnson Caring for Others in Home Agency
• Kelly Marie Cato, RN
• Michael William Causey, DNP, CRNA
• Steven Duane Cecil, DC
• Ceesons of Change
• Center for Genetic Services, Inc
• Center for Orthotic and Prosthetic Care of North Carolina Inc
• Centerwell Senior Primary Care (NC), P.C. (CenterWell Senior Primary Care (NC), P.C. - Burlington)
• Central Carolina Gynecology & Urogynecology

• Assisted Living Facility (Mental Illness) in Burlington, NC
• Providers in Burlington, NC by specialty
• Assisted Living Facility (Mental Illness) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.