Provider Demographics
NPI:1043454663
Name:CEDAR HOME HEALTH LLC
Entity Type:Organization
Organization Name:CEDAR HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:N
Authorized Official - Last Name:WHIPPLE
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:401-944-2100
Mailing Address - Street 1:125 SCITUATE AVE
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02921-1838
Mailing Address - Country:US
Mailing Address - Phone:401-944-2100
Mailing Address - Fax:401-944-6241
Practice Address - Street 1:125 SCITUATE AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02921-1838
Practice Address - Country:US
Practice Address - Phone:401-944-2100
Practice Address - Fax:401-944-6241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health