Provider Demographics
NPI:1700189784
Name:CEDARVIEW NURSING & REHABILITATION CENTER LLC
Entity Type:Organization
Organization Name:CEDARVIEW NURSING & REHABILITATION CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:HERTANU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-381-5794
Mailing Address - Street 1:2120 S GREEN RD
Mailing Address - Street 2:SUITE 02
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-3349
Mailing Address - Country:US
Mailing Address - Phone:216-381-5794
Mailing Address - Fax:216-381-5797
Practice Address - Street 1:115 OREGONIA RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-1983
Practice Address - Country:US
Practice Address - Phone:513-932-1121
Practice Address - Fax:513-934-0899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-13
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility