Provider Demographics
NPI:1437860558
Name:CEDAR CREST OPERATOR LLC
Entity Type:Organization
Organization Name:CEDAR CREST OPERATOR LLC
Other - Org Name:CEDAR CREST POST ACUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICARE ADMINISTRATION OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MINDEE
Authorized Official - Middle Name:
Authorized Official - Last Name:POSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-825-2217
Mailing Address - Street 1:1265 S CEDAR CREST BLVD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6293
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1265 S CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6293
Practice Address - Country:US
Practice Address - Phone:610-776-7522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-09
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility