Catholic Health System Program of All-Inclusive Care for the Elderly,

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

CATHOLIC HEALTH SYSTEM PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY,

Practice address

55 Melroy Ave
Lackawanna, NY 14218-1658

Phone

(716) 819-5101

Fax

(716) 819-5099

NPI assigned

Feb 27, 2009

Organization subpart

Yes

Parent organization

CATHOLOC HEALTH SYSTEM, INC.As reported in NPPES

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

Authorized official

Name

Christine J. Kluckhohn

Title

President & Chief Executive Officer

Phone

(716) 604-1842

Specialties & licenses 1

Addresses

Other names 1

• Catholic Health LIFE - Living Independently For Elders Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Catholic Health System

Practitioners 1

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

• Gina Fulater, NP

  • Family Nurse Practitioner
  • Lackawanna, NY
  • NPI 1548644305
  NPD (past)

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1124268305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MELROY AVE",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181658",
            "telephone_number": "716-819-5101",
            "fax_number": "716-819-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MELROY AVE",
            "city": "LACKAWANNA",
            "state": "NY",
            "postal_code": "142181658",
            "telephone_number": "716-819-5101",
            "fax_number": "716-819-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC HEALTH SYSTEM PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY,",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLOC HEALTH SYSTEM, INC.",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "KLUCKHOHN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "716-604-1842"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Health LIFE - Living Independently For Elders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rose Marie Carcione, SLP
• Aniela Cardinal, PHARM D
• Care More Pharmacy LLC
• Shannon Lynn Carney, M.A.
• Natalie Ann Cary
• Katie Cauley, PMHNP
• Sharon Cavanaugh
• Kevin Chapman Chapman
• Richard Robert Charlap Jr., D.D.S.
• Child Pro

• Health Maintenance Organization in Lackawanna, NY
• Providers in Lackawanna, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.