Organization Active NPI

Catholic Charities of the Diocese of Rochester

Doing business as Catholic Charities Family & Community Services - Liberty Manor

  • 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
Doing business as
Catholic Charities Family & Community Services - Liberty Manor
Catholic Family Center Restart Liberty Manor
Practice address
997 Saint Paul St
Rochester, NY 14605-1051
Phone
(585) 266-3080
Fax
(585) 266-0214
NPI assigned
Jan 4, 2017
Last updated
Nov 2, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC CHARITIES OF DIOCESE OF ROCHESTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

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

Specialties & licenses 1

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

Addresses

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 names 2

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

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.

Practitioners & affiliated clinicians

Practitioners 2

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": "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": [],
    "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.