CEDAR LAKE NURSING SERVICES INC NPI 1770755902

NPI Information

NPI: 1770755902
Provider Name: CEDAR LAKE NURSING SERVICES, INC

Doing Business As: CEDAR LAKE HOME HEALTH AND HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
1611 W ROYALL BLVD
MALAKOFF, TX
ZIP 75148
Phone: (903) 489-2043
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CEDAR LAKE NURSING SERVICES, INC is a hospice care community based in Malakoff, TX. CEDAR LAKE NURSING SERVICES, INC NPI is 1770755902. The provider is registered as an organization entity type.
The provider Is Doing Business As Cedar Lake Home Health And Hospice.

The provider's business location address is:

1611 W ROYALL BLVD
MALAKOFF, TX
ZIP 75148-202
Phone: (903) 489-2043
Fax: (903) 489-2044

The provider's authorized official is Mary Norwood .
The authorized official title is Board Member and has the following contact phone number (903) 292-7467.

The enumeration date for this NPI number is 3/27/2008 and was last updated on 5/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		1440	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HH6837	OTHER	TEXAS	BLUE CROSS AND BLUE SHIEL
2	HH6962	OTHER	TEXAS	BCBS OF TEXAS
3	HH6838	OTHER	TEXAS	BCBS OF TEXAS
4	000205800	MEDICAID	TEXAS
5	HH6996	OTHER	TEXAS	BCBS OF TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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