CEDAR CREEK (NPI# 1730323312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730323312 |
| Entity Type | Organization |
| Organization Name | CEDAR CREEK |
| Practice Address |
5411 Fomorin Rd Williamsburg OH 45176-9575 |
| Mailing Address |
895 Central Ave Suite 550 Cincinnati OH 45202-1961 |
| Practice Telephone | 5137243337 |
| Practice Fax Number | 5137247505 |
| Mailing Telephone | 5137212905 |
| Mailing Fax Number | 5137210799 |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-04-27 |
| Authorized Official Name | MS. KATHY STEWART (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5137212905 |
| Is Organization Subpart | Y |
| Parent Organization Name | EPILEPSY FOUNDATION OF GREATER CINCINNATI |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0850093 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | CEDAR CREEK #1 LIMITED PARTNERSHIP (PROPERTIES) | 801 Cartwright #17, Noble, OK 73068 |
| Colorado Business Entities | Cedar Creek 27 LLC | 465 Oneida St., Boulder, CO 80303 |
| Washington State Corporations | CEDAR CREEK AFH LLC | 3519 228th Ave Se, Sammamish, WA 98075 |
| Oregon Corporations, Companies and Business Names | CEDAR CREEK AGRI PRODUCTS, LLC | 1084 South 5th Street, Coos Bay, OR 97420 |
| Washington State Corporations | CEDAR CREEK ANGLERS, LLC | 3960 S Ferguson Rd, Ellensburg, WA 98926-9769 |
| Oregon Corporations, Companies and Business Names | CEDAR CREEK ANGUS LLC | 96161 Gravelford Ln, Myrtle Point, OR 97458 |
| Oklahoma Business Registrations | CEDAR CREEK ANGUS LLC | 47988 S County Road 225, Mooreland, OK 73852 |
| Iowa Business Entities | CEDAR CREEK ANIMAL CLINIC, P.C. | 2057 210th St, Winterset, IA 50273 |
| Indiana Business Entities | CEDAR CREEK ANTIQUE ENGINE & TRACTOR ASSN., INC. | 2849 County Road 17, Corunna, IN 46730-9780 |
| System for Award Management (SAM) Entities | CEDAR CREEK APARTMENTS | 1003 Cheraw St, Bennettsville, SC 29512-2573 |
| Street Address |
5411 FOMORIN RD |
| City | WILLIAMSBURG |
| State | OH |
| Zip Code | 45176-9575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508384140 | Danielle Nicole Alsip | Licensed Practical Nurse | 5874 Marathon-edenton Rd, Williamsburg, OH 45176 | 2017-09-04 |
| 1629131321 | Margaret Louise Mcafee | Home Health Aide | 3480 Twin Bridges Road, Williamsburg, OH 45176 | 2006-12-18 |
| 1427141019 | Fitzgerald & Huling Pharmacy Inc | Pharmacy | 305 West Main, Williamsburg, OH 45176 | 2006-10-02 |
| 1295100444 | Rebecca Wilker | Doula | 307 S Broadway St, Williamsburg, OH 45176-1014 | 2015-12-13 |
| 1194226910 | Sahara Dawn Dorsey | Registered Nurse | 500 S 5th St Ste 202, Williamsburg, OH 45176-1017 | 2018-02-27 |
| 1841812393 | Healthsource of Ohio Inc | Clinic/Center | 500 S 5th St Ste 202, Williamsburg, OH 45176-1017 | 2020-05-07 |
| 1003438557 | Healthsource of Ohio Inc | Clinic/Center | 500 S 5th St Ste 202, Williamsburg, OH 45176-1017 | 2020-05-07 |
| 1750521324 | Williamsburg Local School District | Local Education Agency (LEA) | 549 W Main St Ste A, Williamsburg, OH 45176-1120 | 2009-02-23 |
| 1164643458 | Aimee Jean Cooper | Social Worker | 549 W Main St Ste B, Williamsburg, OH 45176-1120 | 2007-05-02 |
| 1639698145 | Trisha Elizabeth Hering | Social Worker | 549 W Main St Ste B, Williamsburg, OH 45176-1120 | 2017-09-15 |
| Find all providers in zip 45176 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184868739 | Arbor View | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5405 Fomorin Rd, Williamsburg, OH 45176-9575 | 2009-04-27 |
| 1477965838 | Faith Hope Care Provider | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 153 Blackheath, Williamsburg, VA 23188-7482 | 2014-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053801 | Vip of Ohio, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2446 Audubon Rd, Akron, OH 44320-1010 | 2020-11-03 |
| 1871190280 | Gateways To Better Living Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6000 Mahoning Ave Ste 234, Youngstown, OH 44515-2225 | 2020-10-08 |
| 1235746264 | Cheryl L Nelson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 21891 Ringgold Southern Rd, Circleville, OH 43113-9263 | 2020-09-24 |
| 1164039244 | Amberdawn E Kenworthy-byers | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3746 Hickory Ln, Greenville, OH 45331-3014 | 2020-09-23 |
| 1467067124 | Forever Care LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5240 Northtowne Blvd Apt C, Columbus, OH 43229-4661 | 2020-09-10 |
| 1174177737 | Alive Now Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6717 Amsel Ave Ne, Canton, OH 44721-2606 | 2019-07-31 |
| 1154846095 | Anitra L Richardson | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3321 Hackberry St, Cincinnati, OH 45207-1701 | 2017-08-11 |
| 1811447519 | Royal Queens Care Agency | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6625 Retton Rd, Reynoldsburg, OH 43068-2849 | 2016-10-06 |
| 1962958512 | Individual | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1111 Gonder Av Se, Canton, OH 44707 | 2016-09-01 |
| 1700238391 | Rose-mary, The Johanna Grasselli Rehabilitation and Education Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4383 Ammon Rd, Cleveland, OH 44143-2803 | 2016-07-07 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 45176 |
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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.