Catholic Charities of the Archdiocese of Omaha Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

SATC043 Issued in NE

Legal business name

CATHOLIC CHARITIES OF THE ARCHDIOCESE OF OMAHA INC

Doing business as

Omaha Campus For Hope

Practice address

1490 N 16TH St.
Omaha Campus for Hope
Omaha, NE 68102-4101

Phone

(402) 827-0570

Fax

(402) 827-0580

NPI assigned

Oct 12, 2006

Last updated

Mar 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theresa Ross

Title

Senior Finance Director

Phone

(402) 829-9292

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Omaha Campus For Hope Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Catholic Charities of the Archdiocese of Omaha Inc

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1225127657

  O20040729000619

  Same enrollment
• Catholic Charities of the Archdiocese of Omaha Inc

  • Psychiatric Residential Treatment Facility
  • Columbus, NE
  • NPI 1841389277

  O20040729000619

  Same enrollment

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1649369075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 N 60TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681043402",
            "telephone_number": "402-554-0520",
            "fax_number": "402-551-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 N 16TH ST.",
            "address_2": "OMAHA CAMPUS FOR HOPE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681024101",
            "telephone_number": "402-827-0570",
            "fax_number": "402-827-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF THE ARCHDIOCESE OF OMAHA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "SENIOR FINANCE DIRECTOR",
        "authorized_official_telephone_number": "402-829-9292"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NE",
            "license": "SATC043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025315800",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025347600",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "99050",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47037561286",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omaha Campus For Hope",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Cates, PH.D.
• Michaela Cates
• Sahara Cathcart, M.D.
• Catholic Charities of the Archdiocese of Omaha Inc
• Catholic Charities of the Archdiocese of Omaha Inc
• Catholic Charities of the Archdiocese of Omaha Inc (Journeys)
• Catholic Charities of the Archdiocese of Omaha Inc (Journeys)
• Catholic Charities of the Archdiocese of Omaha, Inc (Journeys)
• Catholic Charities of the Archdiocese of Omaha, Inc
• Catholic Charities of the Archdiocese of Omaha, Inc. (Catholic Charities)

• Substance Abuse Rehabilitation Facility in Omaha, NE
• Providers in Omaha, NE by specialty
• Substance Abuse Rehabilitation Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.