NPIMap

Organization Active NPI

Associated Catholic Charities, Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Dundalk, MD
National Provider Identifier
1306413315
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
ASSOCIATED CATHOLIC CHARITIES, INC
Practice address
2 N Dundalk Ave
Dundalk, MD 21222-4221
Phone
(667) 600-3681
Fax
(667) 600-4093
NPI assigned
Jun 8, 2021
Last updated
Jun 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Lisa Ann Serfass, LCPC
Title
Regional Director
Phone
(667) 600-2118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

2 N Dundalk Ave
Dundalk, MD 21222-4221

Mailing address

308 Virginia Ave
Cumberland, MD 21502-4559
Phone (667) 600-2118

National Provider Directory

National Provider Directory
Tax ID family
Associated Catholic Cha62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1306413315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 VIRGINIA AVE",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215024559",
            "telephone_number": "667-600-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N DUNDALK AVE",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212224221",
            "telephone_number": "667-600-3681",
            "fax_number": "667-600-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED CATHOLIC CHARITIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "SERFASS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "667-600-2118",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundalk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; 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.