Provider Demographics
NPI:1437145026
Name:UNITED HELPERS CEDARS NURSING HOME INC
Entity type:Organization
Organization Name:UNITED HELPERS CEDARS NURSING HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:E
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-393-3074
Mailing Address - Street 1:732 FORD ST
Mailing Address - Street 2:
Mailing Address - City:OGDENSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:13669-1704
Mailing Address - Country:US
Mailing Address - Phone:315-393-3074
Mailing Address - Fax:315-393-3083
Practice Address - Street 1:6695 STATE HIGHWAY 37
Practice Address - Street 2:
Practice Address - City:OGDENSBURG
Practice Address - State:NY
Practice Address - Zip Code:13669-4424
Practice Address - Country:US
Practice Address - Phone:315-393-4810
Practice Address - Fax:315-394-1527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-20
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00804788Medicaid
NY00804788Medicaid