Provider Demographics
NPI:1801224928
Name:CEDARS PROPERTIES INC
Entity Type:Organization
Organization Name:CEDARS PROPERTIES INC
Other - Org Name:THE HOUSE THAT FAITH BUILT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-584-7353
Mailing Address - Street 1:1105 MELBA CT
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-1616
Mailing Address - Country:US
Mailing Address - Phone:727-584-7353
Mailing Address - Fax:727-584-7353
Practice Address - Street 1:1105 MELBA CT
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-1616
Practice Address - Country:US
Practice Address - Phone:727-584-7353
Practice Address - Fax:727-584-7353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL5976310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL140275700Medicaid