Organization · Type 2 NPI

Cedar Lake Nursing Services, Inc

Community Based Hospice Care Agency · Trinidad, TX

NPI number 1770755902 Active

Practice location

218 Park St
Trinidad, TX 75163-6060

Call (903) 489-2044 Map

Fax (903) 489-2044

Mailing address

PO Box 2025
Malakoff, TX 75148-2025

Other practice locations

753 W 2nd Ave, Corsicana, TX 75110-2942 · (903) 874-4745

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	1440 (TX)

Community Based Hospice Care Agency: Definition to come...

5 other providers at this address

NPI record

NPI: 1770755902
Entity type: Organization (Type 2)
Issued: Mar 27, 2008
Last updated: Jun 29, 2026
Status: Active

Other names

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Cedar Lake Home Health and Hospice · doing business as
Cedar Lake Home Health and Hospice · doing business as

Authorized official

Cynthia Ann Calloway, RN
Administrator
(903) 681-7406

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1770755902

Cedar Lake Nursing Services, Inc's National Provider Identifier is 1770755902, issued on Mar 27, 2008. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in Trinidad, TX. The record was last updated on Jun 29, 2026.