Provider Demographics
NPI:1619091337
Name:CEDAR HILL HEALTHCARE CENTER
Entity Type:Organization
Organization Name:CEDAR HILL HEALTHCARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:SAYLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-674-6609
Mailing Address - Street 1:49 CEDAR HILL DR
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:VT
Mailing Address - Zip Code:05089-9470
Mailing Address - Country:US
Mailing Address - Phone:802-674-6609
Mailing Address - Fax:802-674-5618
Practice Address - Street 1:49 CEDAR HILL DR
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:VT
Practice Address - Zip Code:05089-9470
Practice Address - Country:US
Practice Address - Phone:802-674-6609
Practice Address - Fax:802-674-5618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Not Answered385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT047W040Medicaid
VT047W128Medicaid
VT047R040Medicaid