Cathedralrock

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

029559 Issued in MO

Legal business name

CATHEDRALROCK

Practice address

615 Rancho LN
Florissant, MO 63031-1717

Phone

(314) 839-2150

Fax

(314) 839-8736

NPI assigned

Sep 22, 2005

Organization subpart

No

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

Addresses

Other identifiers 2

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962498162",
    "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 BLDG",
            "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": "615 RANCHO LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311717",
            "telephone_number": "314-839-2150",
            "fax_number": "314-839-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHEDRALROCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2020-08-22",
        "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": "MO",
            "license": "029559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17806445",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID NUMBER",
            "identifier": "MO02585",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniele Caruso, OTR/L
• Carolyn Caruthers
• Joseph Case, DPT
• Julia Ann Cashel, MED, LPC
• Judith A. Cates, MA, LPC
• Catholic Comprehensive Services for Children, Child Center-Marygrove
• Patrick Joseph Cavanaugh
• Laura Christine Cavaness, DMD
• Joanna Lynn Cavato, RPH
• Amanda Cencula, PHARMD

• Skilled Nursing Facility in Florissant, MO
• Providers in Florissant, MO by specialty
• Skilled Nursing Facility in Missouri

• 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.