NPI age
19 years
Enumerated 2007-01-18
● Active Type 2 · Organization
Cedar Lake Nursing Home, Inc.
Cedar Lake Nursing Home, Inc. is 1 of 3272 skilled nursing facility organizations in Texas.
Primary specialty
Skilled Nursing Facility
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Humble
General Partner
Last NPPES update
2015-03-04
Source: monthly bulk 2026-05
How this organization compares
Across 3272 active skilled nursing facility providers in Texas.
NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 9% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1611 W Royall Blvd
Malakoff, TX 751486202
Mailing address
Po Box 1088
Malakoff, TX 751481088
Authorized official
Loretta Louise Humble
General Partner
📞 9034891702
Specialties
-
Skilled Nursing Facility Primary(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness...
-
Nursing Facility/Intermediate Care FacilityAn institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 000436301 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Cedar Lake Nursing Home
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.