OrganizationActive
Catholic Guardian Society & Home Bureau
NPI 1215004353 · Intellectual Disabilities Intermediate Care Facility · New York, NY
Provider details
- NPI number
- 1215004353
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- John Frein, Executive Director(212) 371-1000
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
107 Payson Ave
New York, NY 10034-2763
Phone: (212) 567-2847
Fax: (212) 567-5591
Approximate (ZIP-level) locationGet directions
Mailing address
1011 1st Ave Fl 10
New York, NY 10022-4112
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.