CEDAR HAVEN ACQUISITION LLC (NPI# 1649689423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649689423 |
| Entity Type | Organization |
| Organization Name | CEDAR HAVEN ACQUISITION LLC |
| Other Organization Name | CEDAR HAVEN HEALTHCARE CENTER |
| Practice Address |
590 S 5th Ave Lebanon PA 17042-9195 |
| Mailing Address |
200 Dryden Rd E Suite 3100 Dresher PA 19025-1044 |
| Practice Telephone | 7172740421 |
| Mailing Telephone | 2154417700 |
| Mailing Fax Number | 2154414255 |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |
| Authorized Official Name | MR. MICHAEL A D'ARCANGELO (PRESIDENT) |
| Authorized Official Telephone | 2154417700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | PA | Nursing & Custodial Care Facilities | |
| Y | 314000000X | Skilled Nursing Facility | PA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Cedar Haven Healthcare Center | Doing Business As Name - Organization |
| Street Address |
590 S 5TH AVE |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-9195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881602332 | Lebanon County Commissioners | Skilled Nursing Facility | 590 S 5th Ave, Lebanon, PA 17042-9195 | 2006-08-03 |
| 1073133385 | Dustin Blake Hendrick | Physical Therapist | 590 S 5th Ave, Lebanon, PA 17042-9195 | 2020-04-16 |
| 1619504040 | Cedar Haven Operations LLC | Skilled Nursing Facility | 590 S 5th Ave, Lebanon, PA 17042-9195 | 2020-03-25 |
| 1558837138 | Janet Irene Chicka | Occupational Therapist | 590 S 5th Ave, Lebanon, PA 17042-9195 | 2018-10-22 |
| 1629544408 | Deitra Meaghan Hood | Occupational Therapy Assistant | 590 S 5th Ave, Lebanon, PA 17042-9195 | 2018-10-18 |
| 1902384787 | Georgia M Cleary | Occupational Therapist | 590 S 5th Ave, Lebanon, PA 17042-9195 | 2018-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801278049 | Darrel A Decker | Skilled Nursing Facility | 350 8th Street, Lebanon, OR 97355 | 2015-06-24 |
| 1982094587 | Mindy Walker | Skilled Nursing Facility | 942 Balsam Wood Ln, Lebanon, OH 45036-8528 | 2015-02-03 |
| 1679985113 | State of Oregon Department of Veterans' Affairs | Skilled Nursing Facility | 600 N. 5th Street, Lebanon, OR 97355 | 2014-06-02 |
| 1922239789 | Genesis Rehab | Skilled Nursing Facility | 847 Kirby Road, Lebanon, OH 45036 | 2009-07-28 |
| 1740443910 | Kindred Nursing Centers East LLC | Skilled Nursing Facility | 700 Monroe Rd, Lebanon, OH 45036-1409 | 2008-07-08 |
| 1093925612 | Cedars Nursing Home Inc. | Skilled Nursing Facility | 932 E Baddour Pkwy, Lebanon, TN 37087-3707 | 2007-05-23 |
| 1851412407 | Ssc Lebanon Operating Company LLC | Skilled Nursing Facility | 731 Castle Heights Ct, Lebanon, TN 37087-2646 | 2007-04-02 |
| 1972634285 | Healthcare Opportunities Inc | Skilled Nursing Facility | 102 E Silver St, Lebanon, OH 45036-1812 | 2007-03-08 |
| 1891874798 | The Good Samaritan Hospital | Skilled Nursing Facility | Fourth and Willow Streets, Lebanon, PA 17042 | 2006-11-03 |
| 1578649703 | Quality Care Investors | Skilled Nursing Facility | 932 Baddour Pkwy, Lebanon, TN 37087 | 2006-10-31 |
| Find all providers in LEBANON | ||||
Please comment or provide details below to improve the information on CEDAR HAVEN ACQUISITION LLC.
| 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.