St Gabriel Corpus Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ST GABRIEL CORPUS OPCO LLC

Practice address

7245 McArdle Rd
Corpus Christi, TX 78412-4113

Phone

(361) 288-4695

NPI assigned

Jan 4, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Charles E Trefzger Jr.

Title

Manager

Phone

(828) 322-5535

Specialties & licenses 1

Addresses

Other names 1

• St Gabriel of Corpus Christi Doing business as

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

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1952014078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2568",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286032568",
            "telephone_number": "828-322-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7245 MCARDLE RD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124113",
            "telephone_number": "361-288-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GABRIEL CORPUS OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "TREFZGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "828-322-5535",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Gabriel of Corpus Christi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• SQLC Senior Living Center at Corpus Christi, Inc.
• Patricia Squires, NURSE PRACTITIONER
• Anon Srikiatkhachorn
• SSC Nueces Retama LLC
• Michael Anthony St Angelo
• Julie Marie Stack
• Anita Stackhouse, SLP
• Kenneth W Stackhouse Jr., F.N.P.
• Jane O Stafford, M.D.
• Wesley W Stafford, MD

• Assisted Living Facility in Corpus Christi, TX
• Providers in Corpus Christi, 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 Jan 4, 2023; 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.