Provider Demographics
NPI:1407304629
Name:CATHOLIC CHARITIES SENIOR & CAREGIVER SUPPORT SERVIES
Entity type:Organization
Organization Name:CATHOLIC CHARITIES SENIOR & CAREGIVER SUPPORT SERVIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HILDENBRANDT
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:518-372-5667
Mailing Address - Street 1:1462 ERIE BLVD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12305-1026
Mailing Address - Country:US
Mailing Address - Phone:518-372-5667
Mailing Address - Fax:518-372-5686
Practice Address - Street 1:1462 ERIE BLVD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12305-1004
Practice Address - Country:US
Practice Address - Phone:518-372-5667
Practice Address - Fax:518-372-5686
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CATHOLIC CHARITIES OF THE DIOCESE OF ALBANY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-09-16
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251V00000XAgenciesVoluntary or Charitable
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No332U00000XSuppliersHome Delivered Meals
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Multi-Specialty