Cedargate Healthcare

LBN: Cedargate Healthcare Group, Llc
Cedargate Healthcare is an health care organization with primary practice located at 2350 Kanell Blvd , Poplar Bluff MO 63901-4036. 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. Cedargate Healthcare Group, Llc can be contacted via phone (573) 785-0188, or through Smith, Kimberly D via phone (731) 588-4302.

Contact Information

Primary practice address
2350 Kanell Blvd Poplar Bluff MO 63901-4036
Phone: (573) 785-0188
Fax: (573) 785-7321
Website:
Map and Directions
Authorized official contact:
Name: Smith, Kimberly D NHA
Phone: (731) 588-4302

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 042291 Missouri

Profile Details

NPI number 1740684851
LBN Legal business name Cedargate Healthcare Group, Llc
DBA Doing business as Cedargate Healthcare
Authorized official Smith, Kimberly D NHA
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2014
Last updated Jan 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740684851 NPPES
Missouri MEDICAID 101482008

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