CATHOLIC HEALTH SYSTEM PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY, (NPI# 1124268305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124268305 |
| Entity Type | Organization |
| Organization Name | CATHOLIC HEALTH SYSTEM PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY, |
| Other Organization Name | CATHOLIC HEALTH LIFE - LIVING INDEPENDENTLY FOR ELDERS |
| Practice Address |
55 Melroy Ave Lackawanna NY 14218-1658 |
| Practice Telephone | 7168195101 |
| Practice Fax Number | 7168195099 |
| Mailing Telephone | 7168195101 |
| Mailing Fax Number | 7168195099 |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-02-27 |
| Authorized Official Name | CHRISTINE J. KLUCKHOHN (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7166041842 |
| Is Organization Subpart | Y |
| Parent Organization Name | CATHOLOC HEALTH SYSTEM, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| Catholic Health LIFE - Living Independently For Elders | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CATHOLIC HEALTH SYSTEM PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY, INC. | 144 Genesee Street, 6th Floor, Buffalo, New York 14203 |
| Street Address |
55 MELROY AVE |
| City | LACKAWANNA |
| State | NY |
| Zip Code | 14218-1658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619490141 | Joanne Albini | Occupational Therapist | 55 Melroy Ave, Lackawanna, NY 14218-1658 | 2017-07-17 |
| 1801335922 | Margaret Mary Edbauer | Speech-Language Pathologist | 55 Melroy Ave, Lackawanna, NY 14218-1658 | 2017-02-22 |
| 1639615081 | Jacquie Punaro | Dietitian, Registered | 55 Melroy Ave, Lackawanna, NY 14218-1658 | 2017-01-10 |
| 1467814566 | Vicki Quinn | Physical Therapist | 55 Melroy Ave, Lackawanna, NY 14218-1658 | 2016-03-28 |
| 1609233634 | Heather Palmer | Occupational Therapist | 55 Melroy Ave, Lackawanna, NY 14218-1658 | 2016-01-21 |
| 1235595372 | Debora Carol Wild | Physical Therapist | 55 Melroy Ave, Lackawanna, NY 14218-1658 | 2016-01-05 |
| 1871959916 | Diane Marie Costanzo | Physical Therapist | 55 Melroy Ave, Lackawanna, NY 14218-1658 | 2016-01-05 |
| 1548644305 | Gina Fulater | Nurse Practitioner | 55 Melroy Ave, Lackawanna, NY 14218-1658 | 2015-07-11 |
| 1922323187 | Amy Becker | Internal Medicine | 55 Melroy Ave, Lackawanna, NY 14218-1658 | 2010-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811419765 | Jennifer Lynn Cuneo | Nurse Practitioner | 20 Maryknoll Dr, Lackawanna, NY 14218 | 2017-07-12 |
| 1144579251 | Jennifer Jalil-contreras | Social Worker | 33 Wilkesbarre Avenue, Lackawanna, NY 14218 | 2012-09-05 |
| 1578833323 | Buffalo Synapse Support, LLC | Specialist/Technologist, Other | 609 Ridge Road, Lackawanna, NY 14218 | 2012-01-11 |
| 1851546097 | Rania Karam-bayoumi | Family Medicine | 227 Ridge Road, Lackawanna, NY 14218 | 2008-12-01 |
| 1548427552 | Jennifer Anne Molea | Specialist | 1025 Ridge Road, Lackawanna, NY 14218 | 2008-05-19 |
| 1649481904 | Richard Edwin Zambron | Dentist | 1243 Ridge Road, Lackawanna, NY 14218 | 2007-05-25 |
| 1447461876 | Baker Victory Services | Nursing Facility/Intermediate Care Facility | 180 Martin Road, Lackawanna, NY 14218 | 2007-05-25 |
| 1396956462 | Baker Victory Services | Psychiatric Residential Treatment Facility | 150 Martin Road, Lackawanna, NY 14218 | 2007-05-24 |
| 1245352921 | Baker Hall | Day Training, Developmentally Disabled Services | 650 Ridge Road, Lackawanna, NY 14218 | 2007-04-04 |
| 1730210238 | Brandi Arcara | Counselor | 2600 South Park Avenue, Parkview Center, Lackawanna, NY 14218 | 2007-03-08 |
| Find all providers in zip 14218 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
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| Find all providers with the same taxonomy | ||||
| City | LACKAWANNA |
| Zip Code | 14218 |
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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.