Catholic Charities of the Diocese of Santa Rosa

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

4087 Issued in CA

Legal business name

CATHOLIC CHARITIES OF THE DIOCESE OF SANTA ROSA

Practice address

2606 Myrtle Ave
Eureka, CA 95501-3424

Phone

(707) 444-9611

Fax

(707) 444-9613

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Maureen Eugenia Shaw, ACSW

Title

Executive Director

Phone

(707) 528-8712

Specialties & licenses 1

Addresses

Tax ID family

Catholic Charities of the Diocese of Santa Rosa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Catholic Charities of the Diocese of Santa Rosa

  • Adult Day Care Clinic/Center
  • Santa Rosa, CA
  • NPI 1487121265
  NPD tax ID

Locations

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164559936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4900",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954024900",
            "telephone_number": "707-528-8712",
            "fax_number": "707-575-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013424",
            "telephone_number": "707-444-9611",
            "fax_number": "707-444-9613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE DIOCESE OF SANTA ROSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "EUGENIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-528-8712",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ACSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "4087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolas Castagnola
• Leslie Castellano, B.A.
• Samantha Castillo
• Joseph Anthony Casucci
• Stuart David Cataldo, MD
• Chant'E Marie Catt-Nesser
• Diane Elizabeth Caudillo
• Lara Marie Celli, NP
• Michael Cent, RPH
• Center for Women'S Health Care

• Community/Behavioral Health Agency in Eureka, CA
• Providers in Eureka, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.