Cedar Crest, Inc.

LBN: Cedar Crest, Inc.
Cedar Crest, Inc. is an health care organization with primary practice located at 1702 S River Rd , Janesville WI 53546-5648. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Cedar Crest, Inc. can be contacted via phone (608) 756-0344, or through Wozniak, Marion via phone (608) 373-6301.

Contact Information

Primary practice address
1702 S River Rd Janesville WI 53546-5648
Phone: (608) 756-0344
Fax: (608) 756-9275
Website:
Map and Directions
Authorized official contact:
Name: Wozniak, Marion
Phone: (608) 373-6301

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2201 Wisconsin

Profile Details

NPI number 1831171610
LBN Legal business name Cedar Crest, Inc.
DBA Doing business as
Authorized official Wozniak, Marion
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831171610 NPPES
Wisconsin MEDICAID 20148600

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