NPIMap

Organization Active NPI

Catholic Guardian Services

  • Intellectual Disabilities Intermediate Care Facility
  • Melville, NY
National Provider Identifier
1063866465
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
7145201 Issued in NY
Legal business name
CATHOLIC GUARDIAN SERVICES
Practice address
909 Melville Estates CT
Melville, NY 11747-2827
Phone
(212) 371-1011
Fax
(212) 371-1512
NPI assigned
Apr 21, 2016
Last updated
Apr 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Mr. Mario Albino Espino, ACCOUNTANT
Title
Fiscal Accountant
Phone
(212) 371-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 7145201 NY Primary

Addresses

Primary practice location

909 Melville Estates CT
Melville, NY 11747-2827

Mailing address

1011 1St Ave
10TH Floor
New York, NY 10022-4112
Phone (212) 371-1000

Other identifiers 1

IdentifierTypeStateIssuer
7145201MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Catholic Guardian Society Home Bureau17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1063866465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 1ST AVE",
            "address_2": "10TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224112",
            "telephone_number": "212-371-1000",
            "fax_number": "212-371-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 MELVILLE ESTATES CT",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472827",
            "telephone_number": "212-371-1011",
            "fax_number": "212-371-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC GUARDIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "ESPINO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "ALBINO",
        "authorized_official_title_or_position": "FISCAL ACCOUNTANT",
        "authorized_official_telephone_number": "212-371-1000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACCOUNTANT"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": "7145201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7145201",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.