NPIMap

Organization Active NPI

Jewish Center for Aged

Doing business as The Cedars at the JCA

  • Skilled Nursing Facility
  • Chesterfield, MO
National Provider Identifier
1265420079
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
031593 Issued in MO
Legal business name
JEWISH CENTER FOR AGED
Doing business as
The Cedars at the JCA
Practice address
13190 S Outer 40
Chesterfield, MO 63017-5917
Phone
(314) 434-3330
Fax
(314) 392-6286
NPI assigned
Oct 6, 2005
Last updated
Sep 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Mr. John Barrow
Title
Controller
Phone
(314) 434-3330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 031593 MO Primary

Addresses

Primary practice location

13190 S Outer 40
Chesterfield, MO 63017-5917

Mailing address

13190 S Outer 40
Chesterfield, MO 63017-5917
Phone (314) 434-3330

Other identifiers 1

IdentifierTypeStateIssuer
110925OtherMOBLUE CROSS

Other names 1

  • The Cedars at the JCA Doing business as

National Provider Directory

National Provider Directory

Locations

13190 South Outer 40 Rd
Town and Country, MO 63017
Phone (314) 392-6380

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1265420079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13190 S OUTER 40",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175917",
            "telephone_number": "314-434-3330",
            "fax_number": "314-392-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13190 S OUTER 40",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175917",
            "telephone_number": "314-434-3330",
            "fax_number": "314-392-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH CENTER FOR AGED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "BARROW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "314-434-3330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "110925",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Cedars at the JCA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.