Organization Active NPI

Cedar Lawn Investments, LLC

  • Skilled Nursing Facility
  • Abingdon, VA
National Provider Identifier
1992796007
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH2531 Issued in VA
Legal business name
CEDAR LAWN INVESTMENTS, LLC
Practice address
600 Walden Rd
Abingdon, VA 24210-2356
Phone
(276) 628-2111
NPI assigned
Oct 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michelle Burdette
Title
Director of Finance
Phone
(423) 308-1845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH2531 VA Primary

Addresses

Primary practice location

600 Walden Rd
Abingdon, VA 24210-2356

Mailing address

600 Walden Rd
Abingdon, VA 24210-2356
Phone (276) 628-2111

Other identifiers 1

IdentifierTypeStateIssuer
4953380MedicaidVA

Other names 1

  • Grace Healthcare of Abingdon Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992796007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 WALDEN RD",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102356",
            "telephone_number": "276-628-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WALDEN RD",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102356",
            "telephone_number": "276-628-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR LAWN INVESTMENTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURDETTE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "423-308-1845"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VA",
            "license": "NH2531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4953380",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Healthcare of Abingdon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abingdon, VA

Sources for this page

  • 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.