Organization Active NPI

Catholic Charities AIDS Services

  • Case Management Agency
  • Albany, NY
National Provider Identifier
1104067024
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CATHOLIC CHARITIES AIDS SERVICES
Practice address
100 Slingerland St
Albany, NY 12202-1229
Phone
(518) 449-3581
Fax
(518) 426-3662
NPI assigned
Mar 24, 2009
Organization subpart
Yes
Parent organization
CATHOLIC CHARITIES OF THE DIOCESE OF ALBANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Authorized official

Name
Ms. Candace Ellis
Title
Executive Director
Phone
(518) 449-3581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

100 Slingerland St
Albany, NY 12202-1229

Mailing address

100 Slingerland St
Albany, NY 12202-1229
Phone (518) 449-3581

Other identifiers 1

IdentifierTypeStateIssuer
01440326MedicaidNY

National Provider Directory

National Provider Directory
Part of
Catholic Charities

Locations

100 Slingerland St
Albany, NY 12202
Phone (518) 449-3581

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1104067024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SLINGERLAND ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122021229",
            "telephone_number": "518-449-3581",
            "fax_number": "518-426-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SLINGERLAND ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122021229",
            "telephone_number": "518-449-3581",
            "fax_number": "518-426-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES AIDS SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARITIES OF THE DIOCESE OF ALBANY",
        "enumeration_date": "2009-03-24",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "518-449-3581",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01440326",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.