NPIMap

Organization Active NPI

Heart Care Institute Affiliated Services, LLC

Doing business as HCIA Intensive Cardiac Rehab

  • Cardiac Rehabilitation Clinic/Center
  • Creve Coeur, MO
National Provider Identifier
1063756278
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Clinic/CenterTaxonomy code 261QR0404X
Legal business name
HEART CARE INSTITUTE AFFILIATED SERVICES, LLC
Doing business as
HCIA Intensive Cardiac Rehab
Practice address
1020 N Mason Rd
Suite 200
Creve Coeur, MO 63141-6300
Phone
(314) 996-3140
Fax
(314) 996-3132
NPI assigned
Nov 15, 2012
Last updated
May 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Ms. Cathy Eghigian
Title
Director
Phone
(314) 273-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Clinic/Center 261QR0404X Primary

Addresses

Primary practice location

1020 N Mason Rd
Suite 200
Creve Coeur, MO 63141-6300

Mailing address

1020 N Mason Rd
Suite 200
Creve Coeur, MO 63141-6300
Phone (314) 996-3140

Other identifiers 1

IdentifierTypeStateIssuer
DV4787OtherRR MEDICARE PIN

Other names 1

  • HCIA Intensive Cardiac Rehab Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130520000673 MO Part B Supplier - Intensive Cardiac Rehabilitation 2668368564 Receives reassigned benefits from 27 practitioners
Practice locations: Creve Coeur, MO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Hcia Cardiac Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 4

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1020 N Mason Rd
Ste 200
Saint Louis, MO 63141
Phone (314) 996-3140

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1063756278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 N MASON RD",
            "address_2": "SUITE 200",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416300",
            "telephone_number": "314-996-3140",
            "fax_number": "314-996-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N MASON RD",
            "address_2": "SUITE 200",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416300",
            "telephone_number": "314-996-3140",
            "fax_number": "314-996-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART CARE INSTITUTE AFFILIATED SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "EGHIGIAN",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-273-0770",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "DV4787",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HCIA Intensive Cardiac Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.