NPIMap

Organization Active NPI

Catholic Charities Diocese of Gary Inc

  • Community/Behavioral Health Agency
  • Gary, IN
National Provider Identifier
1669799672
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CATHOLIC CHARITIES DIOCESE OF GARY INC
Practice address
940 Broadway
Gary, IN 46402-2906
Phone
(219) 886-3565
Fax
(219) 886-2428
NPI assigned
Apr 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Authorized official

Name
Mr. Duane D. Dedelow
Title
Executive Director
Phone
(219) 886-3549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

940 Broadway
Gary, IN 46402-2906

Mailing address

940 Broadway
Gary, IN 46402-2906

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

940 Broadway
Gary, IN 46402
Phone (219) 886-3549

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383177600000",
    "number": "1669799672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 BROADWAY",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464022906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 BROADWAY",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464022906",
            "telephone_number": "219-886-3565",
            "fax_number": "219-886-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES DIOCESE OF GARY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2013-10-31",
        "status": "A",
        "authorized_official_last_name": "DEDELOW",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "219-886-3549",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.