Organization Active NPI

Chatholic Charities

  • Substance Abuse Rehabilitation Facility
  • Cleveland, OH
National Provider Identifier
1245580307
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
S0009131 Issued in OH
Legal business name
CHATHOLIC CHARITIES
Practice address
3135 Euclid Ave
Cleveland, OH 44115-2531
Phone
(216) 432-0682
NPI assigned
Sep 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Authorized official

Name
Ms. Julie Ellen Mark, LSW
Title
Counselor
Phone
(216) 432-0682

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X S0009131 OH Primary

Addresses

Primary practice location

3135 Euclid Ave
Cleveland, OH 44115-2531

Mailing address

3135 Euclid Ave
Cleveland, OH 44115-2531
Phone (216) 432-0682

National Provider Directory

National Provider Directory

Locations

3135 Euclid Ave
Cleveland, OH 44115
Phone (216) 391-2030

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1245580307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152531",
            "telephone_number": "216-432-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3135 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152531",
            "telephone_number": "216-432-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATHOLIC CHARITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "216-432-0682",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OH",
            "license": "S0009131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.