CEDAR PARK SNF LLC (NPI# 1750680872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750680872 |
| Entity Type | Organization |
| Organization Name | CEDAR PARK SNF LLC |
| Other Organization Name | THE ISLE AT CEDAR RIDGE |
| Practice Address |
2200 S. Lakeline Blvd. Cedar Park TX 78613-4563 |
| Mailing Address |
5307 E Mockingbird Ln Suite 1010 Dallas TX 75206-5109 |
| Practice Telephone | 5122190200 |
| Practice Fax Number | 5122190466 |
| Mailing Telephone | 2143702600 |
| Mailing Fax Number | 2143702699 |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2012-08-21 |
| Authorized Official Name | CRAIG SPAULDING (MANAGER) |
| Authorized Official Telephone | 2143706200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 133153 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001019567 | 05 |
| Other Name | Type Code |
|---|---|
| The Isle at Cedar Ridge | Doing Business As Name - Organization |
| Street Address |
2200 S. LAKELINE BLVD. |
| City | CEDAR PARK |
| State | TX |
| Zip Code | 78613-4563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
| 1750980801 | Sheneil Roberts | Pharmacist | 101 Commercial Pkwy, Cedar Park, TX 78613 | 2020-10-20 |
| 1821606674 | Whitney Olivia White | Dentist | 4807 183a, Ste 100, Cedar Park, TX 78613 | 2020-07-17 |
| 1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
| 1497216642 | Rolling Hills Healthcare, Inc. | Hospice Care, Community Based | 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 | 2019-03-29 |
| 1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
| 1982187514 | Elizabeth Harwell | Physical Therapy Assistant | 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2018-09-10 |
| 1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
| 1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
| 1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
| Find all providers in zip 78613 | ||||
| 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 |
|---|---|---|---|---|
| 1437614658 | Sundance Operations LLC | Skilled Nursing Facility | 3000 Glacier Pass, Cedar Park, TX 78613-7628 | 2019-02-01 |
| 1487185732 | Cottonwood Long Term Care LLC | Skilled Nursing Facility | 1301 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2017-03-27 |
| 1336483619 | Slh Cedar Park, LLC | Skilled Nursing Facility | 2200 S Lakeline Blvd, Cedar Park, TX 78613-4567 | 2012-11-26 |
| 1548527963 | Pm Management - Cedar Park Nc LLC | Skilled Nursing Facility | 1500 Cottonwood Creek Trl, Cedar Park, TX 78613-7555 | 2012-04-23 |
| 1437244969 | New Hope Manor, Inc. | Skilled Nursing Facility | 1623 W New Hope Dr, Cedar Park, TX 78613-6018 | 2006-10-03 |
| 1366087967 | Stratford Hospital District | Skilled Nursing Facility | 901 Discovery Blvd, Cedar Park, TX 78613-2273 | 2019-11-07 |
| 1821554890 | Frio Hospital District | Skilled Nursing Facility | 1500 Cottonwood Creek Trl, Cedar Park, TX 78613-7555 | 2019-02-14 |
| 1861932675 | Coryell County Memorial Hospital Authority | Skilled Nursing Facility | 1623 W New Hope Dr, Cedar Park, TX 78613-6018 | 2017-02-27 |
| 1336570274 | Chp Isle At Cedar Ridge Tx Tenant Corp. | Skilled Nursing Facility | 2200 S Lakeline Blvd, Cedar Park, TX 78613-4567 | 2013-12-03 |
| 1447507082 | New Hope Snf LLC | Skilled Nursing Facility | 1623 W New Hope Dr, Cedar Park, TX 78613-6018 | 2012-08-14 |
| Find all providers in CEDAR PARK | ||||
| City | CEDAR PARK |
| Zip Code | 78613 |
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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.