Organization Active NPI

Catholic Guardian Society & Home Bureau

  • Intellectual Disabilities Intermediate Care Facility
  • Bronx, NY
National Provider Identifier
1598832669
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
CATHOLIC GUARDIAN SOCIETY & HOME BUREAU
Practice address
1858 Victor St
Bronx, NY 10462-3510
Phone
(718) 892-3798
Fax
(718) 892-3491
NPI assigned
Nov 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Frein
Title
Executive Director
Phone
(212) 371-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

1858 Victor St
Bronx, NY 10462-3510

Mailing address

1011 1St Ave FL 10
New York, NY 10022-4112
Phone (212) 371-1000

Other identifiers 1

IdentifierTypeStateIssuer
00683674MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Catholic Guardian Society Home Bureau17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598832669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 1ST AVE FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224112",
            "telephone_number": "212-371-1000",
            "fax_number": "212-371-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 VICTOR ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104623510",
            "telephone_number": "718-892-3798",
            "fax_number": "718-892-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC GUARDIAN SOCIETY & HOME BUREAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "212-371-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00683674",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • 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.