Provider Demographics
NPI:1235868076
Name:CEDAR HEART HOMES, INC.
Entity Type:Organization
Organization Name:CEDAR HEART HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:PRESCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, MBA, RN
Authorized Official - Phone:507-430-0632
Mailing Address - Street 1:PO BOX 325
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MN
Mailing Address - Zip Code:55333-0325
Mailing Address - Country:US
Mailing Address - Phone:507-430-0632
Mailing Address - Fax:
Practice Address - Street 1:551 2ND AVE E
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MN
Practice Address - Zip Code:55333
Practice Address - Country:US
Practice Address - Phone:507-430-0632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility