CATHOLIC CHARITIES OF DIOCESE OF ROCHESTER/DBA/CATHOLIC FAMILY CENTER (NPI# 1548705387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548705387 |
Entity Type | Organization |
Organization Name | CATHOLIC CHARITIES OF DIOCESE OF ROCHESTER/DBA/CATHOLIC FAMILY CENTER |
Other Organization Name | CATHOLIC FAMILY CENTER RESTART HANNICK HALL |
Practice Address |
407 E Union St Newark NY 14513-1609 |
Practice Telephone | 3153312300 |
Practice Fax Number | 3153312301 |
Mailing Telephone | 3153312300 |
Mailing Fax Number | 3153312301 |
Enumeration Date | 2017-01-04 |
Last Update Date | 2017-01-04 |
Authorized Official Name | CATHERINE L. SARESKY (VICEPRESIDENT OF RESTART) |
Authorized Official Telephone | 5855463046 |
Authorized Official Credential | LCSW |
Is Organization Subpart | Y |
Parent Organization Name | CATHOLIC CHARITIES OF DIOCESE OF ROCHESTER/DBA/CATHOLIC FAMILY C |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | 171212062 | NY | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | NYS OASAS PRU | 6608 | 01 |
Other Name | Type Code |
---|---|
Catholic Family Center Restart Hannick Hall | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639614472 | Catholic Charities of Diocese of Rochester/dba/catholic Family Center | Substance Abuse Rehabilitation Facility | 997 Saint Paul St, Rochester, NY 14605-1051 | 2017-01-04 |
1720523566 | Catholic Charities of Diocese of Rochester/dba/catholic Family Center | Substance Abuse Rehabilitation Facility | 1645 Saint Paul St, Rochester, NY 14621-3162 | 2017-01-04 |
Street Address |
407 E UNION ST |
City | NEWARK |
State | NY |
Zip Code | 14513-1609 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659805984 | Melissa Downer | Counselor | 407 E Union St, Newark, NY 14513-1609 | 2017-04-13 |
1417488024 | Shirley Withey | Counselor | 407 E Union St, Catholic Family Center Hannick Hall, Newark, NY 14513-1609 | 2017-03-24 |
1003347626 | Mary Blomgren | Counselor | 407 E Union St, Newark, NY 14513-1609 | 2017-03-24 |
1568993301 | Teresa Figueroa | Social Worker | 407 E Union St, Newark, NY 14513-1609 | 2017-03-23 |
1386175131 | Joan Peters | Counselor | 407 E Union St, Newark, NY 14513-1609 | 2017-03-23 |
1679004402 | Margaret Vannostrand | Social Worker | 407 E Union St, Newark, NY 14513-1609 | 2017-03-23 |
1144642786 | Renee Devuyst | Counselor | 407 E Union St, Newark, NY 14513-1609 | 2014-01-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
Find all providers in zip 14513 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467051367 | Elev8 Centers of New Jersey | Substance Abuse Rehabilitation Facility | 20 Toler Pl, Newark, NJ 07114-1431 | 2020-10-21 |
1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
1285118679 | A Center for Mental Wellness Community Support Programs, LLC | Substance Abuse Rehabilitation Facility | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-09-20 |
1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
1578074357 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 37 Lincoln Park, Newark, NJ 07102-2390 | 2017-10-19 |
1497266266 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 99 Lincoln Park, Newark, NJ 07102-2388 | 2017-10-19 |
1548771892 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 105 Lincoln Park, Newark, NJ 07102-2388 | 2017-10-13 |
1609320258 | Comunidad Unida Para La Rehabilitacion De Adictos | Substance Abuse Rehabilitation Facility | 75 Lincoln Park, Newark, NJ 07102-2303 | 2016-08-12 |
1699123729 | Comunidad Unida Para La Rehabilitacion De Adictos | Substance Abuse Rehabilitation Facility | 61 Lincoln Park, Newark, NJ 07102-2390 | 2016-05-31 |
1346634714 | Angel Hope House | Substance Abuse Rehabilitation Facility | 800 Clinton Ave, Newark, NJ 07108-1004 | 2015-03-24 |
Find all providers in NEWARK |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.