CEDAR LAKE HOME HEALTH AND HOSPICE – Community Based Hospice Care Agency, NPI 1770755902
Community Based Hospice Care Agency
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CEDAR LAKE HOME HEALTH AND HOSPICE
104, South Terry Street, Malakoff, Henderson County, Texas, 75148, United States
MALAKOFF, TX 751489206
Phone: (903) 489-2043
Fax: (903) 489-2044
Type: Location
753 W 2nd Ave
Corsicana, TX 751102942
Phone: (903) 874-4745
Type: Location
Malakoff Street, Marrickville, Sydney, Inner West Council, New South Wales, 2204, Australia
MALAKOFF, TX 75148
Phone: (903) 489-2023
Fax: (903) 489-2044
Type: Mailing
1611 W ROYALL BLVD
MALAKOFF, TX 751486202
Phone: (903) 489-2043
Fax: (903) 489-2044
Type: Location
218 PARK ST
TRINIDAD, TX 751636060
Phone: (903) 489-2044
Fax: (903) 489-2044
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-11-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-08-31 (651 days ago).
Enrollment records
1
Earliest due date
2024-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20101112000101 | O | Hospice | TX | 2024-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75148)
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