NPIMap

Organization Active NPI

Catholic Managed LTC Inc

  • Exclusive Provider Organization
  • Mount Vernon, NY
National Provider Identifier
1346601531
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
CATHOLIC MANAGED LTC INC
Practice address
109 Hillcrest Rd
Mount Vernon, NY 10552-1510
Phone
(914) 668-3068
NPI assigned
Mar 15, 2016
Last updated
Mar 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Authorized official

Name
Ms. Eneida Morales, RNNPI 1144689829
Title
Nurse Manager
Phone
(718) 732-7171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X NY Primary

Addresses

Primary practice location

109 Hillcrest Rd
Mount Vernon, NY 10552-1510

Mailing address

109 Hillcrest Rd
Mount Vernon, NY 10552-1510
Phone (914) 668-3068

National Provider Directory

National Provider Directory
Tax ID family
Archcare Senior Life6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

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": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1346601531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 HILLCREST RD",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105521510",
            "telephone_number": "914-668-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HILLCREST RD",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105521510",
            "telephone_number": "914-668-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC MANAGED LTC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "ENEIDA",
        "authorized_official_title_or_position": "NURSE MANAGER",
        "authorized_official_telephone_number": "718-732-7171",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.