NPIMap

Organization Active NPI

Catholic Charities Corporation

  • Community/Behavioral Health Agency
  • Elyria, OH
National Provider Identifier
1336329697
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CATHOLIC CHARITIES CORPORATION
Practice address
628 Poplar St
Elyria, OH 44035-4065
Phone
(440) 366-1106
Fax
(440) 336-5645
NPI assigned
Nov 5, 2007
Last updated
Jan 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Mr. Patrick Gareau
Title
President & Chief Executive Officer
Phone
(216) 334-2901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

628 Poplar St
Elyria, OH 44035-4065

Mailing address

628 Poplar St
Elyria, OH 44035-4065
Phone (440) 366-1106

Other names 1

  • CC of Lorain County Other name

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities Servcies Corporation29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

Locations

628 Poplar St
Elyria, OH 44035
Phone (440) 242-0056

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1336329697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 POPLAR ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440354065",
            "telephone_number": "440-366-1106",
            "fax_number": "440-336-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 POPLAR ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440354065",
            "telephone_number": "440-366-1106",
            "fax_number": "440-336-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "GAREAU",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "216-334-2901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CC of Lorain County",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.