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NPI Code Detail

MEDICARE: CEDAR HILL NURSING HOME, INC.

MEDICARE: CEDAR HILL NURSING HOME, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2005101OTHERTXFACILITY ID

General Provider Information

NPI Number : 1447491923
Entity Type Code : Organization
Provider Name (Legal Business Name) : CEDAR HILL NURSING HOME, INC.
Provider Business Mailing Address
First Line : 121 NE LOOP 820
Second Line : SUITE 300
City : HURST
State : TX
Zip : 76053-7375
Country : US
Telephone Number : 817-457-8797
Fax Number : 817-457-4060
Provider Business Practice Location Address
First Line : 230 S CLARK RD
Second Line :
City : CEDAR HILL
State : TX
Zip : 75104-2750
Country : US
Telephone Number : 972-291-7877
Fax Number : 972-293-1273
Authorized Official
Title or Position : PRESIDENT
Name : CAROLYN GOODMAN
Credential :
Telephone Number : 817-457-8797
Provider Enumeration Date : 03/13/2009
Last Update Date : 06/11/2009

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Directions to “CEDAR HILL NURSING HOME, INC. ” Practice Location

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