Healthcare Provider Details

I. General information

NPI: 1467245902
Provider Name (Legal Business Name): CEDAR HAVEN OPERATIONS HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 SAINT JOSEPH ST
WOONSOCKET RI
02895-5416
US

IV. Provider business mailing address

311 BOULEVARD OF AMERICAS STE 405
LAKEWOOD NJ
08701-4969
US

V. Phone/Fax

Practice location:
  • Phone: 646-236-4634
  • Fax:
Mailing address:
  • Phone: 646-236-4634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: YEHUDA YARMUSH
Title or Position: CEO
Credential:
Phone: 646-236-4634