CEDAR LIVING CENTER (NPI# 1104262146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104262146 |
| Entity Type | Organization |
| Organization Name | CEDAR LIVING CENTER |
| Practice Address |
810 W Columbia St Oberlin KS 67749-2450 |
| Practice Telephone | 7854752208 |
| Practice Fax Number | 7854752453 |
| Mailing Telephone | 7854752208 |
| Mailing Fax Number | 7854752453 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |
| Authorized Official Name | MR. JOHNATHAN OWENS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7854752208 |
| Is Organization Subpart | Y |
| Parent Organization Name | DECATUR HEALTH SYSTEMS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | H020101 | KS | Nursing & Custodial Care Facilities |
| Street Address |
810 W COLUMBIA ST |
| City | OBERLIN |
| State | KS |
| Zip Code | 67749-2450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953365 | Jeffery W. Mckinley | Family Medicine | 810 W Columbia St, Oberlin, KS 67749 | 2005-06-24 |
| 1649700295 | Richard Akromis | Physician Assistant | 810 W Columbia St, Oberlin, KS 67749-2450 | 2017-06-15 |
| 1205371150 | Melissa Rae Mathews | Nurse Practitioner | 810 W Columbia St, Oberlin, KS 67749-2450 | 2017-01-02 |
| 1003289489 | Steven Robinson | Physician Assistant | 810 W Columbia St, Oberlin, KS 67749-2450 | 2015-11-05 |
| 1942604186 | Danielle J Ridlen | Physical Therapy Assistant | 810 W Columbia St, Oberlin, KS 67749-2450 | 2014-10-17 |
| 1013222629 | Decatur Health Systems, Inc | Clinic/Center | 810 W Columbia St, Oberlin, KS 67749-2450 | 2010-08-09 |
| 1619000957 | Decatur Health Systems Inc. | Nurse Anesthetist, Certified Registered | 810 W Columbia St, Oberlin, KS 67749-2450 | 2007-03-14 |
| 1063545499 | Gary M Bartels | Nurse Anesthetist, Certified Registered | 810 W Columbia St, Oberlin, KS 67749-2450 | 2007-03-14 |
| 1235231499 | Decatur Health Systems,inc. | Home Health | 810 W Columbia St, Oberlin, KS 67749-2450 | 2006-09-01 |
| 1821019605 | Decatur Health Systems Inc | Medicare Defined Swing Bed Unit | 810 W Columbia St, Oberlin, KS 67749-2450 | 2006-07-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366879447 | Jennifer L. Juenemann | Speech-Language Pathologist | 108 East Ash, Good Samaritan Society, Oberlin, KS 67749 | 2013-10-03 |
| 1215046867 | Douglas M Fair, D.c., P.a. | Chiropractor | 504 N Penn Ave, Oberlin, KS 67749-1619 | 2006-08-29 |
| 1952865545 | Kirsten Elizabeth Lavers | Massage Therapist | 504 N Penn Ave, Oberlin, KS 67749-1619 | 2019-01-28 |
| 1861750234 | Britta Noel Noren | Massage Therapist | 504 N Penn Ave, Oberlin, KS 67749-1619 | 2012-04-24 |
| 1235461195 | Unger Chiropractic Clinic | Chiropractor | 504 N Penn Ave, Oberlin, KS 67749-1619 | 2010-02-03 |
| 1477760239 | Shannon R Addleman | Chiropractor | 504 N Penn Ave, Oberlin, KS 67749-1619 | 2007-05-17 |
| 1689798910 | Douglas M Fair | Chiropractor | 504 N Penn Ave, Oberlin, KS 67749-1619 | 2007-03-19 |
| 1063403228 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 108 E Ash St, Oberlin, KS 67749-1908 | 2005-11-04 |
| 1720419328 | Jody Robertson | Physical Therapy Assistant | 108 E Ash St, Oberlin, KS 67749-1908 | 2013-12-06 |
| 1588998967 | Oberlin Usd 294 | Local Education Agency (LEA) | 131 E Commercial St, Oberlin, KS 67749-2110 | 2009-10-01 |
| Find all providers in zip 67749 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474901 | James I Chou Dds Pa | Nursing Facility/Intermediate Care Facility | 5216 Park St, Shawnee, KS 66216-1141 | 2020-07-10 |
| 1902348865 | Good Shepherd Villages, Inc | Nursing Facility/Intermediate Care Facility | 613 3rd St, Summerfield, KS 66541-8619 | 2016-11-09 |
| 1598215428 | Lucyanne Moraa Okwomi | Nursing Facility/Intermediate Care Facility | 6402 W 89th St, #4, Overland Park, KS 66212-6059 | 2016-10-04 |
| 1972976439 | Franklin Healthcare of Peabody, LLC | Nursing Facility/Intermediate Care Facility | 500 Peabody Ave, Peabody, KS 66866-1206 | 2015-11-05 |
| 1073932950 | Loving Care of Mcpherson | Nursing Facility/Intermediate Care Facility | 1411 Dover Rd, Mcpherson, KS 67460-1722 | 2014-04-08 |
| 1649608282 | Trudy Hansen | Nursing Facility/Intermediate Care Facility | 200 S 14th St, Parsons, KS 67357-4201 | 2013-10-16 |
| 1922446350 | Maize Ccrc, LLC | Nursing Facility/Intermediate Care Facility | 505 N Maize Rd, Wichita, KS 67212-4689 | 2013-06-07 |
| 1194006213 | Rehabcare | Nursing Facility/Intermediate Care Facility | 124 S Skyline Dr, Salina, KS 67401-1627 | 2011-09-01 |
| 1285929489 | Brenda Jo Zeller | Nursing Facility/Intermediate Care Facility | 22459 Greenwood Rd, Belvue, KS 66407-9406 | 2011-06-15 |
| 1669782231 | Gracious Senior Living, LLC | Nursing Facility/Intermediate Care Facility | 551 S. Holland, Wichita, KS 67209 | 2010-10-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.