MEDICARE: FHS CEDAR, 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
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1598594442
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FHS CEDAR, INC.

Provider Business Mailing Address
First Line	:	25000 COUNTRY CLUB BLVD STE 255
Second Line	:
City	:	NORTH OLMSTED
State	:	OH
Zip	:	44070-5337
Country	:	US
Telephone Number	:	440-793-2024
Fax Number	:	440-614-0168

Provider Business Practice Location Address
First Line	:	9014 CEDAR AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-2932
Country	:	US
Telephone Number	:	216-795-1363
Fax Number	:	216-795-1573

Authorized Official
Title or Position	:	VP OF GOVERNMENT AFFAIRS
Name	:	SANDY MUIR
Credential	:
Telephone Number	:	440-793-2245

Provider Enumeration Date	:	07/30/2024
Last Update Date	:	10/23/2024

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Directions to “FHS CEDAR, INC. ” Practice Location

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