NPIMap

Organization Active NPI

Catholic Guardian Society & Home Bureau

  • Intellectual Disabilities Intermediate Care Facility
  • Staten Island, NY
National Provider Identifier
1710054887
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
CATHOLIC GUARDIAN SOCIETY & HOME BUREAU
Practice address
46 Dresden PL
Staten Island, NY 10301-4510
Phone
(718) 981-3523
Fax
(718) 524-0092
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John Frein
Title
Executive Director
Phone
(212) 371-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

46 Dresden PL
Staten Island, NY 10301-4510

Mailing address

1011 1St Ave FL 10
New York, NY 10022-4112
Phone (212) 371-1000

Other identifiers 1

IdentifierTypeStateIssuer
00733844MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Catholic Guardian Society Home Bureau17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710054887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 1ST AVE FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224112",
            "telephone_number": "212-371-1000",
            "fax_number": "212-371-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 DRESDEN PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103014510",
            "telephone_number": "718-981-3523",
            "fax_number": "718-524-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC GUARDIAN SOCIETY & HOME BUREAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "212-371-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00733844",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.