Provider Demographics
NPI:1215645437
Name:CEDAR HOMECARE LLC
Entity type:Organization
Organization Name:CEDAR HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:NAJIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-955-5062
Mailing Address - Street 1:7830 BACKLICK RD STE 401
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22150-2205
Mailing Address - Country:US
Mailing Address - Phone:813-955-5062
Mailing Address - Fax:
Practice Address - Street 1:7830 BACKLICK RD STE 401
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22150-2205
Practice Address - Country:US
Practice Address - Phone:813-955-5062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty