Provider Demographics
NPI:1336131796
Name:CEDARS HOME HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:CEDARS HOME HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUG
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-373-3900
Mailing Address - Street 1:4363 NORTHERN PIKE
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2807
Mailing Address - Country:US
Mailing Address - Phone:412-373-3900
Mailing Address - Fax:412-373-5600
Practice Address - Street 1:4328 NORTHERN PIKE
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2825
Practice Address - Country:US
Practice Address - Phone:412-380-2408
Practice Address - Fax:412-373-2685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-22
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA77570501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018717710001Medicaid
PA1446OtherHIGHMARK BLUE SHIELD
PA1446OtherHIGHMARK BLUE SHIELD
PA397757Medicare ID - Type Unspecified