St. Catherine'S Village, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

637 Issued in MS

Legal business name

ST. CATHERINE'S VILLAGE, INC

Doing business as

St. Catherine's Village - Siena Center

Practice address

200 Dominican Dr
Madison, MS 39110-8630

Phone

(601) 856-0100

Fax

(601) 856-0109

NPI assigned

Jul 25, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Claude W. Harbarger

Title

President

Phone

(601) 856-0100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. Catherine's Village - Siena Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053834747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 DOMINICAN DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108630",
            "telephone_number": "601-856-0100",
            "fax_number": "601-856-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DOMINICAN DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108630",
            "telephone_number": "601-856-0100",
            "fax_number": "601-856-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CATHERINE'S VILLAGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HARBARGER",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-856-0100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MS",
            "license": "637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI STATE DEPARTMENT OF HEALTH",
            "identifier": "637",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Catherine's Village - Siena Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Madison, MS
• Providers in Madison, MS by specialty
• Skilled Nursing Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.