CEDARCREST, INC.
NPI 1699897215
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Keene, NH
- Organization
- Residential Treatment Facility, Intellec...
- CLIA Number: 30D2041628
- CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
- CLIA Exp. Date: 05-24-2026
About CEDARCREST, INC.
This page provides the complete NPI Profile along with additional information for Cedarcrest, Inc., a provider established in Keene, New Hampshire operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1699897215 assigned on April 2007. The practitioner's primary taxonomy code is 320600000X with license number 1709 (NH). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Scott Q. Adams Ba, Bs, Mba (Cfo)
- NPI
- 1699897215 Verify this NPI
- Provider Name
- CEDARCREST, INC.
- Entity Type
- Organization
- Location Address
- 91 MAPLE AVE KEENE, NH 03431
- Location Phone
- (603) 358-3384
- Location Fax
- (603) 358-6485
- Mailing Address
- 91 MAPLE AVE KEENE, NH 03431
- Mailing Phone
- (603) 358-3384
- Mailing Fax
- (603) 358-6485
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-04-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- License No.
- 1709
- License State
- NH
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80848084 | MEDICAID (05) | NH | |
| 030G001 | MEDICAID (05) | VT |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 30D2041628
- Facility Type
- Intermediate Care Facility for Mentally Retarded
- Certificate Effective Date
- May 25, 2024
- Certificate Expiration Date
- May 24, 2026
- Laboratory Director
- JESSE HAYSTON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Cedarcrest, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
KEENE, NH 03431
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699897215, enumerated as an "organization" on April 04, 2007.
The provider is located at 91 MAPLE AVE KEENE, NH 03431 and the phone number is (603) 358-3384.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.