CEDAR RIDGE AT BROKEN ARROW
NPI 1063630671
Assisted Living Facility in Broken Arrow, OK
About Cedar Ridge At Broken Arrow NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CEDAR RIDGE AT BROKEN ARROW (NPI 1063630671) is a healthcare organization registered as an assisted living facility in Broken Arrow, Oklahoma and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through June 21, 2028 and lists Jon Harder, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 37D0888013
Broken Arrow Fire Dept · Broken Arrow, OKOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Broken Arrow, LLC's NPI number?
The NPI number for Broken Arrow, LLC is 1063630671. It was assigned to this organization in the NPPES registry on April 22, 2007. The provider is doing business as Cedar Ridge At Broken Arrow.
Where is Broken Arrow, LLC located?
Broken Arrow, LLC is located at 10107 S Garnett Rd, Broken Arrow, OK 74011. The listed phone number is (918) 461-1955.
What is Broken Arrow, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Broken Arrow, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D0888013) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Broken Arrow, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.
