National Provider Identifier Database

CATHOLIC CHARITIES DISABILITIES 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 CHARITIES DISABILITIES SERVICES
1 PARK PL STE 100
ALBANY, NY12205-2620
Phone: 518-783-1111
Fax: 518-785-4894
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for CATHOLIC CHARITIES DISABILITIES SERVICES

NPI Number 1871652040
Legal business name
LBN
CATHOLIC CHARITIES DISABILITIES SERVICES
Authorized official CATHLEEN KROM - (COMPLIANCE & HIPAA PRIVACY OFFICER)
Entity Organization
Organization subpart No
Enumeration date 12/06/2006
Last updated 05/31/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • NY License #: 7582440
  • NY Medicaid: 00836939

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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