NPIMap

Organization Active NPI

Catholic Charities of the Diocese of Rochester

  • Substance Abuse Rehabilitation Facility
  • Rochester, NY
National Provider Identifier
1639614472
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CATHOLIC CHARITIES OF THE DIOCESE OF ROCHESTER
Practice address
997 Saint Paul St
Rochester, NY 14605-1051
Phone
(585) 266-3080
Fax
(585) 266-0214
NPI assigned
Jan 4, 2017
Organization subpart
Yes
Parent organization
CATHOLIC CHARITIES OF DIOCESE OF ROCHESTERAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Kathleen Johnson
Title
Cfo
Phone
(585) 546-7220

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Catholic Family Center9 organizations share this tax ID, including this one
Part of
Catholic Family Center

Other organizations with this tax ID 8

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

NPPES NPI Registry

Primary practice location

997 Saint Paul St
Rochester, NY 14605-1051

Mailing address

997 Saint Paul St
Rochester, NY 14605-1051
Phone (585) 266-3080

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
171212060OtherNYNYS OASAS

Other names 2

NPPES NPI Registry
  • Catholic Charities Family & Community Services - Liberty Manor Doing business as
  • Catholic Family Center Restart Liberty Manor Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 2, 2022.

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1639614472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 SAINT PAUL ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146051051",
            "telephone_number": "585-266-3080",
            "fax_number": "585-266-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 SAINT PAUL ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146051051",
            "telephone_number": "585-266-3080",
            "fax_number": "585-266-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE DIOCESE OF ROCHESTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARITIES OF DIOCESE OF ROCHESTER",
        "enumeration_date": "2017-01-04",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "585-546-7220"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS OASAS",
            "identifier": "171212060",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Charities Family & Community Services - Liberty Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Catholic Family Center Restart Liberty Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.