Organization Active NPI

Catholic Youth Association

  • Meals Provider
  • Pittsburgh, PA
National Provider Identifier
1689180390
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Meals ProviderTaxonomy code 174200000X
Legal business name
CATHOLIC YOUTH ASSOCIATION
Practice address
286 Main St
Pittsburgh, PA 15201-2808
Phone
(412) 621-3342
Fax
(412) 682-2428
NPI assigned
Dec 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Authorized official

Name
Mary Ann Ann Heneroty
Title
Ceo
Phone
(412) 621-3342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X Primary

Addresses

Primary practice location

286 Main St
Pittsburgh, PA 15201-2808

Mailing address

286 Main St
Pittsburgh, PA 15201-2808
Phone (412) 621-3342

Other identifiers 1

IdentifierTypeStateIssuer
0018096300003MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1689180390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 MAIN ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152012808",
            "telephone_number": "412-621-3342",
            "fax_number": "412-682-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 MAIN ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152012808",
            "telephone_number": "412-621-3342",
            "fax_number": "412-682-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC YOUTH ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "HENEROTY",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-621-3342"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018096300003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2017; 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.