# CEDARHURST OF LA VISTA OPERATOR, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730873530
- **Authorized official:** ALEXANDRA NOEL RICCI (CORPORATE COUNSEL)
- **Authorized official phone:** (314) 254-8354

## Contact information

- **Practice address:** 8140 S 97TH PLZ, LA VISTA, NE 68128-7104
- **Practice address phone:** (402) 597-0700
- **Practice address fax:** (402) 488-0406
- **Mailing address:** 300 HUNTER AVE STE 200, SAINT LOUIS, MO 63124-2328
- **Mailing address phone:** (314) 254-8354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/05/2023
- **Last updated:** 06/05/2023