Organization Active NPI

Cathedral Square Corporation

  • Assisted Living Facility
  • Burlington, VT
National Provider Identifier
1649314287
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
1001 Issued in VT
Legal business name
CATHEDRAL SQUARE CORPORATION
Practice address
3 Cathedral SQ
Burlington, VT 05401-4429
Phone
(802) 863-3868
Fax
(802) 863-0385
NPI assigned
Feb 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen S Groseclose
Title
Director of Finance
Phone
(802) 863-2224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 1001 VT Primary

Addresses

Primary practice location

3 Cathedral SQ
Burlington, VT 05401-4429

Mailing address

308 Pine St
Burlington, VT 05401-4740
Phone (802) 863-2224

Other identifiers 2

IdentifierTypeStateIssuer
047W223MedicaidVT
047W224MedicaidVT

National Provider Directory

National Provider Directory

Locations

308 Pine St
Burlington, VT 05401

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649314287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 PINE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014740",
            "telephone_number": "802-863-2224",
            "fax_number": "802-863-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CATHEDRAL SQ",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014429",
            "telephone_number": "802-863-3868",
            "fax_number": "802-863-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHEDRAL SQUARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROSECLOSE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "802-863-2224"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VT",
            "license": "1001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W223",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047W224",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

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.

Verify at the official NPI Registry.