Organization Active NPI

Christian Hospital Northeast- Northwest

  • Skilled Nursing Facility
  • Saint Louis, MO
National Provider Identifier
1447268339
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
425-9 Issued in MO
Legal business name
CHRISTIAN HOSPITAL NORTHEAST- NORTHWEST
Practice address
11133 Dunn Rd
Saint Louis, MO 63136-6119
Phone
(314) 653-5000
Fax
(314) 653-4153
NPI assigned
Aug 4, 2006
Last updated
May 2, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CHRISTIAN HOSPITAL NORTHEAST-NORTHWESTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Mr. John N Katsianis
Title
Vice President Finance
Phone
(314) 653-5062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 425-9 MO Primary

Addresses

Primary practice location

11133 Dunn Rd
Saint Louis, MO 63136-6119

Mailing address

11133 Dunn Rd
Saint Louis, MO 63136-6119
Phone (314) 653-5000

Other identifiers 2

IdentifierTypeStateIssuer
30125OtherBLUE CROSS OF IL
30125OtherBLUE CROSS OF MO

National Provider Directory

National Provider Directory
Part of
Joan H Mass MD

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1447268339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11133 DUNN RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366119",
            "telephone_number": "314-653-5000",
            "fax_number": "314-653-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11133 DUNN RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366119",
            "telephone_number": "314-653-5000",
            "fax_number": "314-653-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN HOSPITAL NORTHEAST- NORTHWEST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIAN HOSPITAL NORTHEAST-NORTHWEST",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "KATSIANIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "314-653-5062",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "425-9",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IL",
            "identifier": "30125",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MO",
            "identifier": "30125",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.