Organization Active NPI

Cathedral Rock of North St Louis, Inc.

  • Skilled Nursing Facility
  • Saint Louis, MO
National Provider Identifier
1508910118
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
031953 Issued in MO
Legal business name
CATHEDRAL ROCK OF NORTH ST LOUIS, INC.
Practice address
2600 Redman Rd
Saint Louis, MO 63136-5863
Phone
(314) 355-8585
Fax
(314) 355-4645
NPI assigned
Jan 22, 2007
Organization subpart
Yes
Parent organization
CATHEDRAL ROCK CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Authorized official

Name
Charles Kent Harrington
Title
President
Phone
(817) 335-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 031953 MO Primary

Addresses

Primary practice location

2600 Redman Rd
Saint Louis, MO 63136-5863

Mailing address

306 W 7TH St Ste 415
Fort Worth, TX 76102-4905
Phone (817) 335-4111

Other identifiers 1

IdentifierTypeStateIssuer
107645004MedicaidMO

Other names 1

  • Cathedral Gardens Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

306 W 7th St
Ste 415
Ft Worth, TX 76102

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1508910118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W 7TH ST STE 415",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024905",
            "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": "2600 REDMAN RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631365863",
            "telephone_number": "314-355-8585",
            "fax_number": "314-355-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHEDRAL ROCK OF NORTH ST LOUIS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHEDRAL ROCK CORPORATION",
        "enumeration_date": "2007-01-22",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_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": "031953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107645004",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cathedral Gardens Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 21, 2010; 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.