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Catholic Guardian Society & Home Bureau

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · New York, NY

NPI 1770650855 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1770650855
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
Legal business name
CATHOLIC GUARDIAN SOCIETY & HOME BUREAU
Practice address
135 W 23Rd St # 211
New York, NY 10011-2446
Phone
(212) 620-0833
Fax
(646) 619-0418
NPI assigned
Nov 30, 2006
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 16

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

National Provider Directory

Tax ID family
Catholic Guardian Society Home Bureau (17 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

135 W 23Rd St # 211
New York, NY 10011-2446

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
00717822MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770650855",
    "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": "135 W 23RD ST # 211",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112446",
            "telephone_number": "212-620-0833",
            "fax_number": "646-619-0418"
        }
    ],
    "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": "00717822",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

All providers in New York, NY · Intellectual Disabilities Intermediate Care Facility in New York

Sources for this page

Verify at the official NPI Registry.