National Provider Identifier Database

CATHOLIC GUARDIAN SERVICES
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

CATHOLIC GUARDIAN SERVICES
909 MELVILLE ESTATES CT
MELVILLE, NY11747-2827
Phone: 212-371-1011
Fax: 212-371-1512
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for CATHOLIC GUARDIAN SERVICES

NPI Number 1063866465
Legal business name
LBN
CATHOLIC GUARDIAN SERVICES
Authorized official MARIO ESPINO - (FISCAL ACCOUNTANT)
Entity Organization
Organization subpart No
Enumeration date 04/21/2016
Last updated 04/21/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 7145201
  • NY Medicaid: 7145201

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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