CATHOLIC CHARITIES CORPORATION (NPI# 1265895361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265895361 |
| Entity Type | Organization |
| Organization Name | CATHOLIC CHARITIES CORPORATION |
| Other Organization Name | MATT TALBOT FOR WOMEN II |
| Practice Address |
1635 Alameda Ave Lakewood OH 44107-4934 |
| Practice Telephone | 2162215000 |
| Mailing Telephone | 2162215000 |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |
| Authorized Official Name | MS. MAUREEN DEE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2163912030 |
| Authorized Official Credential | LISW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 13977 | OH | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Matt Talbot for Women II | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1972550010 | Catholic Charities Corporation | Case Management | 6753 State Rd, Parma, OH 44134-4517 | 2006-05-27 |
| 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 |
1635 ALAMEDA AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-4934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164997367 | Celia Joyce | Social Worker | 1635 Alameda Ave, Lakewood, OH 44107-4934 | 2018-10-04 |
| 1770070708 | Ashley Jamison | Counselor | 1635 Alameda Ave, Lakewood, OH 44107-4934 | 2018-04-16 |
| 1720504137 | Barbara J Harris | Case Manager/Care Coordinator | 1635 Alameda Ave, Lakewood, OH 44107-4934 | 2017-08-17 |
| 1326584574 | Brenda Gail Sims | Counselor | 1635 Alameda Ave, Lakewood, OH 44107-4934 | 2017-01-12 |
| 1992259568 | Rachel Tomasewski | Counselor | 1635 Alameda Ave, Lakewood, OH 44107-4934 | 2016-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| 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] |
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| 1215468038 | Lean In Recovery Center | Substance Abuse Rehabilitation Facility | 18615 Detroit Ave, Ste #207, Lakewood, OH 44107-3274 | 2017-03-23 |
| 1336584705 | Community Care Inc. | Substance Abuse Rehabilitation Facility | 525 E County Line Rd Ste 4, Lakewood, NJ 08701-1405 | 2013-04-30 |
| 1730206202 | Metropolitan Development Council | Substance Abuse Rehabilitation Facility | 10510 Gravelly Lake Dr Sw, Suite 210, Lakewood, WA 98499-5036 | 2007-03-22 |
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| 1013543982 | New Life Recovery, LLC | Substance Abuse Rehabilitation Facility | 14761 State Route 93 Unit 4, Jackson, OH 45640-9820 | 2020-03-23 |
| 1104450063 | Quest Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 401 W High St Ste 9, Mount Vernon, OH 43050-2346 | 2020-02-28 |
| 1922638634 | Randall Jay Smith | Substance Abuse Rehabilitation Facility | 1321 S Westwood Dr, Zanesville, OH 43701-5650 | 2020-01-22 |
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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.