Organization Active NPI

Cathedral Gardens Care Center

  • Skilled Nursing Facility
  • Saint Louis, MO
National Provider Identifier
1780679555
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
031388 Issued in MO
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

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
Alice Chukukere, L.P.N.
Title
MDS Coordinator
Phone
(314) 355-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
18697OtherMOFAC. ID

National Provider Directory

National Provider Directory

NPI 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

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.