Cathedral Rock of Mount Pleasant

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

000748 Issued in TX

Legal business name

CATHEDRAL ROCK OF MOUNT PLEASANT

Doing business as

Villa Residential Care of Mount Pleasant

Practice address

1712 N Edwards Ave
Mt Pleasant, TX 75455-2028

Phone

(817) 335-4111

NPI assigned

May 16, 2008

Last updated

May 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

D Scott Lundy

Title

Cfo

Phone

(817) 335-4111

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Villa Residential Care of Mount Pleasant Doing business as

Locations

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1699932830",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 N EDWARDS AVE",
            "city": "MT PLEASANT",
            "state": "TX",
            "postal_code": "754552028",
            "telephone_number": "817-335-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHEDRAL ROCK OF MOUNT PLEASANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "LUNDY",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "817-335-4111"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "000428",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "000748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000748",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000428",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Villa Residential Care of Mount Pleasant",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Toby Cason, P.A.
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• Assisted Living Facility in Mount Pleasant, TX
• Providers in Mount Pleasant, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.