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CATHOLIC CHARITIES DISABILITIES SERVICES NPI 1811057383


NPI Information

NPI: 1811057383
Provider Name: CATHOLIC CHARITIES DISABILITIES SERVICES
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
1 PARK PL STE 100
ALBANY, NY
ZIP 12205
Phone: (518) 783-1111
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CATHOLIC CHARITIES DISABILITIES SERVICES is an intermediate care facility mentally retarded in Albany, NY. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. CATHOLIC CHARITIES DISABILITIES SERVICES NPI is 1811057383. The provider is registered as an organization entity type.

The provider's business location address is:

1 PARK PL STE 100
ALBANY, NY
ZIP 12205-620
Phone: (518) 783-1111
Fax: (518) 785-4894

The provider's authorized official is Cathleen Krom .
The authorized official title is Compliance & Hipaa Privacy Officer and has the following contact phone number (518) 453-6650.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 5/31/2022.


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
1315P00000XIntermediate Care Facility, Intellectual Disabilities7582442NEW YORKYes

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
101203947MEDICAIDNEW YORK

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: 11/14/2023

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