NPIMap

Organization Active NPI

Catholic Charities Disabilities Services

  • Intellectual Disabilities Intermediate Care Facility
  • Albany, NY
National Provider Identifier
1780744482
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
7582441 Issued in NY
Legal business name
CATHOLIC CHARITIES DISABILITIES SERVICES
Practice address
1 Park PL Ste 100
Albany, NY 12205-2620
Phone
(518) 783-1111
Fax
(518) 785-4894
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Cathleen Krom
Title
Compliance & Hipaa Privacy Officer
Phone
(518) 453-6650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 7582441 NY Primary

Addresses

Primary practice location

1 Park PL Ste 100
Albany, NY 12205-2620

Mailing address

1 Park PL Ste 100
Albany, NY 12205-2620
Phone (518) 783-1111

Other identifiers 1

IdentifierTypeStateIssuer
01039165MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1780744482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK PL STE 100",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122052620",
            "telephone_number": "518-783-1111",
            "fax_number": "518-785-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK PL STE 100",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122052620",
            "telephone_number": "518-783-1111",
            "fax_number": "518-785-4894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES DISABILITIES SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "KROM",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_title_or_position": "COMPLIANCE & HIPAA PRIVACY OFFICER",
        "authorized_official_telephone_number": "518-453-6650"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": "7582441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01039165",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.