CATHEDRAL ROCK OF MOUNT PLEASANT NPI 1699932830

NPI Information

NPI: 1699932830
Provider Name: CATHEDRAL ROCK OF MOUNT PLEASANT

Doing Business As: VILLA RESIDENTIAL CARE OF MOUNT PLEASANT

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1712 N EDWARDS AVE
MT PLEASANT, TX
ZIP 75455
Phone: (817) 335-4111
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CATHEDRAL ROCK OF MOUNT PLEASANT is an assisted living facility in Mt Pleasant, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CATHEDRAL ROCK OF MOUNT PLEASANT NPI is 1699932830. The provider is registered as an organization entity type.
The provider Is Doing Business As Villa Residential Care Of Mount Pleasant.

The provider's business location address is:

1712 N EDWARDS AVE
MT PLEASANT, TX
ZIP 75455-028
Phone: (817) 335-4111

The provider's authorized official is D Scott Lundy .
The authorized official title is Cfo and has the following contact phone number (817) 335-4111.

The enumeration date for this NPI number is 5/16/2008 and was last updated on 5/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		000428	TEXAS	No
2	310400000X	Assisted Living Facility		000748	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000748	MEDICAID	TEXAS
2	000428	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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