NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

CEDAR RESIDENCE
LBN CEDAR RESIDENCE LLC

Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

CEDAR RESIDENCE
LBN CEDAR RESIDENCE LLC
929 CEDAR AVE FL 1
SCRANTON, PA18505-1253
 Phone: 570-955-3260
 Fax: 570-504-7278
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty
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NPI Information for CEDAR RESIDENCE

NPI Number 1407141930
LBN Legal business name CEDAR RESIDENCE LLC
DBA Doing business as CEDAR RESIDENCE
Authorized official LAWRENCE S. RINISH RINISH - (CHEIF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2011
Last updated 01/04/2012 - About 3 years ago
Identifiers
PA License # 357038
PA Medicaid 102615859
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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