Active NPI
Cathedralrock
- Skilled Nursing Facility
- Warsaw, IN
National Provider Identifier
1891781985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 050003591
- Legal business name
- CATHEDRALROCK
- Practice address
- 300 E Prairie St
Warsaw, IN 46580-4429 - Phone
- (574) 267-8922
- Fax
- (574) 268-2711
- NPI assigned
- Sep 23, 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
- Kent Harrington
- Title
- President
- Phone
- (817) 335-4111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 050003591 | IN | Primary |
Addresses
Primary practice location
300 E Prairie St
Warsaw, IN 46580-4429
Mailing address
306 W 7TH St
415 Fort Worth Club Building
Fort Worth, TX 76102-4900
Phone (817) 335-4111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100274920 | Medicaid | IN | |
| IN000359 | Other | IN | FACILITY ID TRANSMISSION |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214438400000",
"number": "1891781985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 W 7TH ST",
"address_2": "415 FORT WORTH CLUB BUILDING",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761024900",
"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": "300 E PRAIRIE ST",
"city": "WARSAW",
"state": "IN",
"postal_code": "465804429",
"telephone_number": "574-267-8922",
"fax_number": "574-268-2711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHEDRALROCK",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-23",
"last_updated": "2008-06-26",
"status": "A",
"authorized_official_last_name": "HARRINGTON",
"authorized_official_first_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": "IN",
"license": "050003591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100274920",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FACILITY ID TRANSMISSION",
"identifier": "IN000359",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warsaw, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.