CATHOLIC GUARDIAN SERVICES (NPI# 1285098251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285098251 |
| Entity Type | Organization |
| Organization Name | CATHOLIC GUARDIAN SERVICES |
| Practice Address |
902 Melville Estates Ct Melville NY 11747-2827 |
| Mailing Address |
1011 1st Ave 10th Floor New York NY 10022-4112 |
| Practice Telephone | 2123711000 |
| Practice Fax Number | 2123711512 |
| Mailing Telephone | 2123711000 |
| Mailing Fax Number | 2123711512 |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |
| Authorized Official Name | MR. MARIO ALBINO ESPINO (FISCAL ACCOUNTANT) |
| Authorized Official Telephone | 2123711000 |
| Authorized Official Credential | ACCOUNTANT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 7145200 | NY | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063866465 | Catholic Guardian Services | Intermediate Care Facility, Mentally Retarded | 909 Melville Estates Ct, Melville, NY 11747-2827 | 2016-04-21 |
| 1588186530 | Catholic Guardian Services | Clinic/Center | 1990 Westchester Ave, Bronx, NY 10462-4553 | 2017-07-12 |
| Street Address |
902 MELVILLE ESTATES CT |
| City | MELVILLE |
| State | NY |
| Zip Code | 11747-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891316139 | Shaina Flanzraich | Physical Therapist | 3237 1800 Walt Whitman Rd, 120, Melville, NY 11747 | 2020-04-28 |
| 1952943763 | Liana Danielle Maher | Behavior Technician | 225 Broadhallow Road Suite 402, Melville, NY 11747 | 2019-10-14 |
| 1114402096 | Anicka Inez Douglas | Behavior Technician | 225 Broadhollow Road Suite 402, Melville, NY 11747 | 2018-09-26 |
| 1962988717 | Brien Nina-louise Potter | Behavior Technician | 225 Broadhollow Road, Suite 402, Melville, NY 11747 | 2018-07-16 |
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1386178127 | Marissa Zydor | Specialist | 538 Ny-110 #202, Melville, NY 11747 | 2017-04-19 |
| 1992236624 | Annmarie Irene Russo | Behavior Technician | 538 Ny-110, Suite 202, Melville, NY 11747 | 2017-03-24 |
| 1205378130 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 914 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1932641867 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 917 Rainbow Commons, Melville, NY 11747 | 2016-11-09 |
| 1740732999 | Independent Group Home Living Program, Inc | Nursing Facility/Intermediate Care Facility | 924 Rainbow Commons, Melville, NY 11747 | 2016-11-03 |
| Find all providers in zip 11747 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | 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. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750804951 | Iri: Innovative Resources for Independence | Intermediate Care Facility, Mentally Retarded | 922 Rainbow Commons Ct, Melville, NY 11747 | 2017-07-19 |
| 1063866465 | Catholic Guardian Services | Intermediate Care Facility, Mentally Retarded | 909 Melville Estates Ct, Melville, NY 11747-2827 | 2016-04-21 |
| 1871955195 | Young Adult Institute Inc. | Intermediate Care Facility, Mentally Retarded | 912 Melville Estates Ct, Melville, NY 11747-2827 | 2016-03-25 |
| 1780859561 | Developmental Disabilities Institute | Intermediate Care Facility, Mentally Retarded | 197 Old South Path, Melville, NY 11747-2808 | 2008-04-23 |
| 1689714453 | State of New York | Intermediate Care Facility, Mentally Retarded | Rainbow Commons, Melville, NY 11747 | 2007-02-08 |
| 1124168075 | State of New York | Intermediate Care Facility, Mentally Retarded | Melville Estates St, Melville, NY 11747 | 2007-02-08 |
| 1366582462 | State of New York | Intermediate Care Facility, Mentally Retarded | Melville Estates, Melville, NY 11747 | 2007-02-07 |
| 1942342100 | State of New York | Intermediate Care Facility, Mentally Retarded | Rainbow Commons, Melville, NY 11747 | 2007-02-13 |
| 1033259981 | State of New York | Intermediate Care Facility, Mentally Retarded | Melville Estates St, Melville, NY 11747 | 2007-02-08 |
| 1487794137 | State of New York | Intermediate Care Facility, Mentally Retarded | Rainbow Commons, Melville, NY 11747 | 2007-02-08 |
| Find all providers in MELVILLE | ||||
Please comment or provide details below to improve the information on CATHOLIC GUARDIAN SERVICES.
| 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.