Cedar Lake Nursing Home
LBN: Cedar Lake Nursing Home, Inc.
Cedar Lake Nursing Home is an health care organization with primary practice located at 1611 W Royall Blvd , Malakoff TX 75148-6202. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Cedar Lake Nursing Home, Inc. can be contacted via phone (903) 489-1702, or through Humble, Loretta Louise via phone (903) 489-1702.
Contact Information
Primary practice address
1611 W Royall Blvd
Malakoff TX 75148-6202
Phone: (903) 489-1702
Fax: (903) 489-1703
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | Texas | |
| Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility | 313M00000X | 000436301 | Texas |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 675898 | Texas |
Profile Details
| NPI number | 1134272859 |
|---|---|
| LBN Legal business name | Cedar Lake Nursing Home, Inc. |
| DBA Doing business as | Cedar Lake Nursing Home |
| Authorized official | Humble, Loretta Louise |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Mar 4th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134272859 | NPPES |
| Texas | MEDICAID | 000436301 |
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