Active NPI
Cathedral Gardens Care Center
- Skilled Nursing Facility
- Saint Louis, MO
National Provider Identifier
1780679555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 031388
- Legal business name
- CATHEDRAL GARDENS CARE CENTER
- Practice address
- 2600 Redman Rd
Saint Louis, MO 63136-5863 - Phone
- (314) 355-8585
- Fax
- (314) 355-4645
- NPI assigned
- Sep 16, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alice Chukukere, L.P.N.
- Title
- MDS Coordinator
- Phone
- (314) 355-8585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 031388 | MO | Primary |
Addresses
Primary practice location
2600 Redman Rd
Saint Louis, MO 63136-5863
Mailing address
2600 Redman Rd
Saint Louis, MO 63136-5863
Phone (314) 355-8585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18697 | Other | MO | FAC. ID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1780679555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"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"
},
{
"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 GARDENS CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHUKUKERE",
"authorized_official_first_name": "ALICE",
"authorized_official_title_or_position": "MDS COORDINATOR",
"authorized_official_telephone_number": "314-355-8585",
"authorized_official_credential": "L.P.N."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MO",
"license": "031388",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAC. ID",
"identifier": "18697",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Rosemary Catanzaro, RD, MS, CDE, LD
- Cataract & Glaucoma Eye Center of St. Louis, LTD.
- Cataract & Glaucoma Eye Center of St. Louis, LTD.
- Carolyn Catchings, MA, CRC, PLPC
- Cater to Your Needs Home Health Care
- Cathedral Rock of North St Louis, Inc.
- Kathryn Cathell, MA, PLPC
- David Cole Catherall, MD
- Catherine a. Feuer, PH.D., LLC
- Catherine L Benoist PSYD LLC
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.