Organization Active NPI

Cathedralrock

  • Skilled Nursing Facility
  • Warsaw, IN
National Provider Identifier
1891781985
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
050003591 Issued in IN
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

Updated by the provider on Jun 26, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100274920MedicaidIN
IN000359OtherINFACILITY ID TRANSMISSION

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.