Cathedralrock

LBN: Cathedralrock
Cathedralrock is an health care organization with primary practice located at 615 Rancho Ln , Florissant MO 63031-1717. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Cathedralrock can be contacted via phone (314) 839-2150, or through Harrington, Kent via phone (817) 335-4111.

Contact Information

Primary practice address
615 Rancho Ln Florissant MO 63031-1717
Phone: (314) 839-2150
Fax: (314) 839-8736
Website:
Map and Directions
Authorized official contact:
Name: Harrington, Kent
Phone: (817) 335-4111

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 029559 Missouri

Profile Details

NPI number 1962498162
LBN Legal business name Cathedralrock
DBA Doing business as
Authorized official Harrington, Kent
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962498162 NPPES
Missouri MEDICAID 17806445
Missouri Other MO02585

Popular Providers