Active NPI
Cathedralrock
- Skilled Nursing Facility
- St Charles, MO
National Provider Identifier
1093701740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 030761
- Legal business name
- CATHEDRALROCK
- Practice address
- 2840 W Clay
Blanchette Place
St Charles, MO 63301 - Phone
- (636) 946-6100
- Fax
- (636) 947-3437
- NPI assigned
- Sep 27, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kent Harrington
- Title
- President
- Phone
- (817) 335-4111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 030761 | MO | Primary |
Addresses
Primary practice location
2840 W Clay
Blanchette Place
St Charles, MO 63301
Mailing address
306 W 7TH St Ste 415
Fort Worth Club BLDG
Fort Worth, TX 76102
Phone (817) 335-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001521 | Other | MO | STATE FACILITY ID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093701740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 W 7TH ST STE 415",
"address_2": "FORT WORTH CLUB BLDG",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76102",
"telephone_number": "817-335-4111",
"fax_number": "817-335-0800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2840 W CLAY",
"address_2": "BLANCHETTE PLACE",
"city": "ST CHARLES",
"state": "MO",
"postal_code": "63301",
"telephone_number": "636-946-6100",
"fax_number": "636-947-3437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHEDRALROCK",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HARRINGTON",
"authorized_official_first_name": "KENT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-335-4111"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MO",
"license": "030761",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE FACILITY ID",
"identifier": "001521",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.