Provider Demographics
NPI:1841239860
Name:CEDARS, INC.
Entity Type:Organization
Organization Name:CEDARS, INC.
Other - Org Name:THE CEDARS
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:620-241-0919
Mailing Address - Street 1:1021 CEDARS DRIVE
Mailing Address - Street 2:
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460-2735
Mailing Address - Country:US
Mailing Address - Phone:620-241-0919
Mailing Address - Fax:620-241-0254
Practice Address - Street 1:1021 CEDARS DRIVE
Practice Address - Street 2:
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-2735
Practice Address - Country:US
Practice Address - Phone:620-241-0919
Practice Address - Fax:620-241-0254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN059009310400000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100112260AMedicaid
KS1042593501Medicaid
175380Medicare Oscar/Certification