Provider Demographics
NPI:1083227136
Name:CEDAS HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:CEDAS HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CECILE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SUTHERLAND
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:973-746-0165
Mailing Address - Street 1:356 BLOOMFIELD AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-3625
Mailing Address - Country:US
Mailing Address - Phone:973-746-0165
Mailing Address - Fax:973-744-2601
Practice Address - Street 1:356 BLOOMFIELD AVE STE 4
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-3625
Practice Address - Country:US
Practice Address - Phone:973-746-0165
Practice Address - Fax:973-744-2601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health