RED CEDAR CANYON ASSISTED LIVING (NPI# 1144472572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144472572 |
Entity Type | Organization |
Organization Name | RED CEDAR CANYON ASSISTED LIVING |
Practice Address |
3001 Hanley Rd Hudson WI 54016-8273 |
Practice Telephone | 7153817333 |
Practice Fax Number | 7153817313 |
Mailing Telephone | 7153817333 |
Mailing Fax Number | 7153817313 |
Enumeration Date | 2008-10-16 |
Last Update Date | 2008-10-16 |
Authorized Official Name | MR. ROBERT DONALD SIMONSON (CEO) |
Authorized Official Telephone | 6083181180 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 12379 | WI | Nursing & Custodial Care Facilities |
Street Address |
3001 HANLEY RD |
City | HUDSON |
State | WI |
Zip Code | 54016-8273 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
Find all providers in zip 54016 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427666593 | Hudson Coh II, LLC | Assisted Living Facility | 805 Heggen St, Hudson, WI 54016-5005 | 2020-07-15 |
1366050429 | Hudson Coh, LLC | Assisted Living Facility | 1111 Heggen St, Hudson, WI 54016-9222 | 2020-07-15 |
1982091518 | Marydale Inc | Assisted Living Facility | 7632 Maryland Ave, Hudson, FL 34667-3261 | 2015-04-21 |
1497157754 | Brookwood Assisted Living Facility Inc | Assisted Living Facility | 7211 Beacon Woods Dr, Hudson, FL 34667-1975 | 2014-09-18 |
1336557180 | Serenity Assisted Living Facility LLC | Assisted Living Facility | 15322 Matis Rd, Hudson, FL 34669-1023 | 2014-07-24 |
1396152963 | Green Acres | Assisted Living Facility | 15820 Archer St, Hudson, FL 34667-3816 | 2014-07-16 |
1376955633 | Collin Mulder | Assisted Living Facility | 14108 Old Dixie Hwy, Hudson, FL 34667-1362 | 2014-05-21 |
1124440458 | Braybrook Assisted Living | Assisted Living Facility | 7532 State Road 52, Hudson, FL 34667-6715 | 2014-01-06 |
1720418015 | Olive Spoeth | Assisted Living Facility | 8711 Cutlass Dr., Hudson, FL 34667 | 2013-11-22 |
1720416357 | The Hendricks Group Inc. | Assisted Living Facility | 1015 Crest View Dr, Hudson, WI 54016-9442 | 2013-10-16 |
Find all providers in HUDSON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.