NPIMap

Organization Active NPI

Catholic Charities of the Archdiocese of St Paul & MPLS

  • Case Management Agency
  • Saint Paul, MN
National Provider Identifier
1033302005
Registry record updated Sep 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF ST PAUL & MPLS
Practice address
1276 University Ave W
Saint Paul, MN 55104-4101
Phone
(651) 647-3100
NPI assigned
Aug 23, 2007
Organization subpart
Yes
Parent organization
CATHOLIC CHARITIES OF THE ARCHDIOCESE OF ST PAUL&MPLSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yolanda O'Reilly
Title
Billing MGR
Phone
(612) 204-8387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MN Primary

Addresses

Primary practice location

1276 University Ave W
Saint Paul, MN 55104-4101

Mailing address

1200 2ND Ave S
Minneapolis, MN 55403-2513
Phone (612) 204-8387

Other identifiers 1

IdentifierTypeStateIssuer
082059800MedicaidMN

Other names 1

  • Catholic Charities Aging Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities of the Archdiocese of St Paul and Minneapolis6 organizations share this tax ID, including this one
Part of
Catholic Charities of the Archdiocese of St Paul and Minneapolis

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1276 University Ave W
Saint Paul, MN 55104
Phone (651) 647-3110

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1033302005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 2ND AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032513",
            "telephone_number": "612-204-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044101",
            "telephone_number": "651-647-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE ARCHDIOCESE OF ST PAUL & MPLS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARITIES OF THE ARCHDIOCESE OF ST PAUL&MPLS",
        "enumeration_date": "2007-08-23",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "O'REILLY",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "612-204-8387"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082059800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Charities Aging Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.