Catholic Guardian Society & Home Bureau
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Hampton Bays, NY
NPI 1063589166 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1063589166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- Legal business name
- CATHOLIC GUARDIAN SOCIETY & HOME BUREAU
- Practice address
- 235 E Montauk Hwy
Hampton Bays, NY 11946-4127 - Phone
- (631) 728-5657
- Fax
- (631) 728-6506
- NPI assigned
- Nov 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. John Frein
- Title
- Executive Director
- Phone
- (212) 371-1000
Corporate family (same tax ID) 16
National Provider Directory
- Tax ID family
- Catholic Guardian Society Home Bureau
Locations
235 E Montauk Hwy
Hampton Bays, NY 11946
Phone (631) 728-5657
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Yes |
Addresses
Primary practice location
235 E Montauk Hwy
Hampton Bays, NY 11946-4127
Mailing address
1011 1St Ave FL 10
New York, NY 10022-4112
Phone (212) 371-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00717813 | Medicaid | NY |
Other providers in Hampton Bays, NY
- Bernadette Buckley
- Michael Anthony Bulanowski
- Melissa Beth Caggiano
- Janet Cassidy
- Catholic Charities of the Diocese of Rockville Centre
- Deborah Cavaliere
- Wayne J Cavaliere
- Michelle Lee Cettina
- Christine Coolidge RN CS PHD PC
- April Marie Cintron
All providers in Hampton Bays, NY · Intellectual Disabilities Intermediate Care Facility in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.