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CATHEDRALROCK NPI 1891781985


NPI Information

NPI: 1891781985
Provider Name: CATHEDRALROCK
Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
300 E PRAIRIE ST
WARSAW, IN
ZIP 46580
Phone: (574) 267-8922
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CATHEDRALROCK is a skilled nursing facility in Warsaw, IN. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. CATHEDRALROCK NPI is 1891781985. The provider is registered as an organization entity type.

The provider's business location address is:

300 E PRAIRIE ST
WARSAW, IN
ZIP 46580-429
Phone: (574) 267-8922
Fax: (574) 268-2711

The provider's authorized official is Kent Harrington .
The authorized official title is President and has the following contact phone number (817) 335-4111.

The enumeration date for this NPI number is 9/23/2005 and was last updated on 6/26/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1314000000XSkilled Nursing Facility050003591INDIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F66885MEDICARE UPININDIANA
2G83708MEDICARE UPININDIANA
3F46894MEDICARE UPININDIANA
4C25007MEDICARE UPININDIANA
5E03751MEDICARE UPININDIANA
6G25534MEDICARE UPININDIANA
7E03752MEDICARE UPININDIANA
8E39364MEDICARE UPININDIANA
9F85984MEDICARE UPININDIANA
10F02840MEDICARE UPININDIANA
11F39916MEDICARE UPININDIANA
12H06975MEDICARE UPININDIANA
13IN000359OTHERINDIANAFACILITY ID TRANSMISSION
14H84380MEDICARE UPININDIANA
15E35244MEDICARE UPININDIANA
16G17443MEDICARE UPININDIANA
17G41461MEDICARE UPININDIANA
18G64403MEDICARE UPININDIANA
19155566MEDICARE ID-TYPE UNSPECIFIEDINDIANAMEDICARE IDENTIFIER NUMBE
20100274920MEDICAIDINDIANA

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

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