CATHOLIC CHARITIES CORPORATION (NPI# 1972550010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972550010 |
| Entity Type | Organization |
| Organization Name | CATHOLIC CHARITIES CORPORATION |
| Other Organization Name | CATHOLIC CHARITIES - PARMADALE MH |
| Practice Address |
6753 State Rd Parma OH 44134-4517 |
| Practice Telephone | 4408435615 |
| Practice Fax Number | 4408431633 |
| Mailing Telephone | 4408435615 |
| Mailing Fax Number | 4408431633 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2013-01-17 |
| Authorized Official Name | MR. PATRICK GAREAU (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2163342901 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 07099 | 05 |
| Other Name | Type Code |
|---|---|
| Catholic Charities - Parmadale MH | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265895361 | Catholic Charities Corporation | Substance Abuse Rehabilitation Facility | 1635 Alameda Ave, Lakewood, OH 44107-4934 | 2016-04-05 |
| 1760744924 | Catholic Charities Corporation | Substance Abuse Rehabilitation Facility | 6735 State Rd, Parma, OH 44134-4517 | 2012-06-13 |
| 1023298395 | Catholic Charities Corporation | Community/Behavioral Health | 34 W 2nd St, Ashland, OH 44805-2201 | 2007-11-05 |
| 1811177181 | Catholic Charities Corporation | Community/Behavioral Health | 4210 N Jefferson St, Suite A, Medina, OH 44256-5639 | 2007-11-05 |
| 1518907351 | Catholic Charities Corporation | Substance Abuse Rehabilitation Facility | 2270 Professor Ave, Cleveland, OH 44113-4467 | 2006-06-08 |
| 1659328771 | Catholic Charities Corporation | Clinic/Center | 3135 Euclid Ave, Suite 202, Cleveland, OH 44115-2531 | 2006-05-27 |
| 1902205289 | Catholic Charities Corporation | Community/Behavioral Health | 6753 State Rd, Parma, OH 44134-4517 | 2014-08-22 |
| 1598000556 | Catholic Charities Corporation | Community/Behavioral Health | 740 E Washington St, Suite E-4, Medina, OH 44256-2136 | 2012-12-03 |
| 1427393487 | Catholic Charities Corporation | Community/Behavioral Health | 812 Biruta St, Akron, OH 44307-1104 | 2012-12-03 |
| 1306104690 | Catholic Charities Corporation | Community/Behavioral Health | 602 South St, Suite D-1, Chardon, OH 44024-1499 | 2012-04-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CATHOLIC CHARITIES CORPORATION | 7911 Detroit Ave, Cleveland, OH 44102-2815 |
| Street Address |
6753 STATE RD |
| City | PARMA |
| State | OH |
| Zip Code | 44134-4517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254647 | Jazmine Carter | Case Manager/Care Coordinator | 6753 State Rd, Parma, OH 44134-4517 | 2020-08-03 |
| 1629697628 | Jessica Carnes | Registered Nurse | 6753 State Rd, Parma, OH 44134-4517 | 2020-04-10 |
| 1982238903 | Racehlle A Waggoner | Licensed Practical Nurse | 6753 State Rd, Parma, OH 44134-4517 | 2020-02-28 |
| 1851922991 | Daniel G Schmidt | Counselor | 6753 State Rd, Parma, OH 44134-4517 | 2020-01-28 |
| 1023668886 | Agata Wojno | Counselor | 6753 State Rd, Parma, OH 44134-4517 | 2019-09-13 |
| 1417505215 | Sierra I Greer | Social Worker | 6753 State Rd, Parma, OH 44134-4517 | 2019-08-27 |
| 1073168605 | Justyna Melnyk | Social Worker | 6753 State Rd, Parma, OH 44134-4517 | 2019-08-09 |
| 1710545686 | Brenna E Gallagher | Social Worker | 6753 State Rd, Parma, OH 44134-4517 | 2019-06-05 |
| 1629636592 | Vanzetta Davis | Licensed Practical Nurse | 6753 State Rd, Parma, OH 44134-4517 | 2019-06-05 |
| 1801351358 | Lucas Bertaud Gonzalez | Case Manager/Care Coordinator | 6753 State Rd, Parma, OH 44134-4517 | 2019-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083061709 | Gary A. Long | Occupational Therapy Assistant | 3920 Hilltop Drive, Parma, OH 44134 | 2016-05-23 |
| 1932556057 | Roman Povroznik | Social Worker | 4414 Forest Hills Blvd, Parma, OH 44134 | 2016-05-18 |
| 1316321441 | Frank Townsley Jr. | Counselor | 6735 State Rd Cottage 16, Parma, OH 44134 | 2015-07-18 |
| 1083019624 | Camille Grant | Licensed Practical Nurse | 5556 Broaview Rd. Apt3123, Parma, OH 44134 | 2014-10-24 |
| 1952721201 | Vernard Jones Sr. | Nurse's Aide | 2419 Stanfield Dr., Parma, OH 44134 | 2014-04-24 |
| 1255772463 | Deborah Halina Palmentera | Day Training/Habilitation Specialist | 1911 Grantwood Drive, Parma, OH 44134 | 2013-07-16 |
| 1962710582 | Abdallah Ali | Family Medicine | 1400 W Pleasant Valley Road, Parma, OH 44134 | 2010-09-16 |
| 1285947044 | Gwendolyn M Klamut | Speech-Language Pathologist | 5525 Broadview Road, Parma, OH 44134 | 2010-07-22 |
| 1992943435 | Gina Friszman | Speech-Language Pathologist | 5273 Broadview Rd., The Therapy Link, Parma, OH 44134 | 2009-01-21 |
| 1285823252 | Teresa Ellen Blevins | Occupational Therapy Assistant | 1440 Snow Road, Parma, OH 44134 | 2007-10-16 |
| Find all providers in zip 44134 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235677592 | Jocelyn Wilson | Residential Treatment Facility, Emotionally Disturbed Children | 182 Midlothian Ave, Youngstown, OH 44507 | 2017-02-07 |
| 1912311937 | Katina Nichols | Residential Treatment Facility, Emotionally Disturbed Children | 2645 Blue Heron Dr, Hudson, OH 44236-1868 | 2014-06-18 |
| 1912223157 | The Center for Child&family Development | Residential Treatment Facility, Emotionally Disturbed Children | 1930 Maple Ave, Zanesville, OH 43701-2238 | 2010-04-13 |
| 1619097052 | Redemption, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 11780 Western Reserve Rd, Salem, OH 44460-7619 | 2007-03-30 |
| 1699899864 | Charles Lamont Hankton | Residential Treatment Facility, Emotionally Disturbed Children | 5593 Carlton Dr, Bedford Hts, OH 44146-2329 | 2007-03-16 |
| 1548288350 | Talbert House | Residential Treatment Facility, Emotionally Disturbed Children | 9018 Cincinnati Columbus Rd, West Chester, OH 45069-3565 | 2006-07-18 |
| 1245262799 | Lutheran Homes Society, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1905 Perrysburg Holland Rd, Holland, OH 43528-9582 | 2006-07-07 |
| 1578528014 | Rosemont Center | Residential Treatment Facility, Emotionally Disturbed Children | 2440 Dawnlight Ave, Columbus, OH 43211-1934 | 2006-04-18 |
| 1740244284 | Oesterlen Services for Youth, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2006-04-13 |
| 1184687030 | Oak Ridge Treatment Center Acq Corp | Residential Treatment Facility, Emotionally Disturbed Children | 115 Private Road 977 County Road 44 North, Pedro, OH 45659 | 2006-04-11 |
| Find all providers with the same taxonomy | ||||
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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.