CATHOLIC CHARITIES DISABILITIES SERVICES NPI 1871652040

NPI Information

NPI: 1871652040
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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NPI Details

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 1871652040. 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 12/6/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		7582440	NEW YORK	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	00836939	MEDICAID	NEW 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: 3/30/2025

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