NPIMap

Organization Active NPI

Cath Char Nghbhd SVS Adessa Icf

  • Intellectual Disabilities Intermediate Care Facility
  • Ozone Park, NY
National Provider Identifier
1740334879
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
CATH CHAR NGHBHD SVS ADESSA ICF
Practice address
10138 92ND St
Ozone Park, NY 11416-2205
Phone
(718) 848-1940
NPI assigned
Jan 23, 2007
Last updated
Jul 8, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC CHARITIES NEIGHBORHOOD SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Ms. Donna Corrado, LCSW
Title
Executive Secretary
Phone
(718) 722-6123

Specialties & licenses 1

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

Addresses

Primary practice location

10138 92ND St
Ozone Park, NY 11416-2205

Mailing address

191 Joralemon St
9TH Floor
Brooklyn, NY 11201-4306
Phone (718) 722-6038

Other identifiers 1

IdentifierTypeStateIssuer
01128629MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Cath Char Nghbhd SVS Straus Icf32 organizations share this tax ID, including this one
Part of
Cath Char Nghbhd SVS Straus Icf

Other organizations with this tax ID 31

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

View all 31

Locations

10138 92nd St
Ozone Park, NY 11416
Phone (718) 848-1940

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1740334879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 JORALEMON ST",
            "address_2": "9TH FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014306",
            "telephone_number": "718-722-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10138 92ND ST",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162205",
            "telephone_number": "718-848-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATH CHAR NGHBHD SVS ADESSA ICF",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC CHARITIES NEIGHBORHOOD SERVICES, INC.",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "CORRADO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "EXECUTIVE SECRETARY",
        "authorized_official_telephone_number": "718-722-6123",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01128629",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozone Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.