MEDICARE: CATHOLIC CHARITIES REGIONAL AGENCY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251V00000X	Voluntary or Charitable Agency
2	347C00000X	Private Vehicle
3	174200000X	Meals Provider

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578979563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHOLIC CHARITIES REGIONAL AGENCY

Provider Business Mailing Address
First Line	:	319 W RAYEN AVE
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44502-1119
Country	:	US
Telephone Number	:	330-744-3320
Fax Number	:	330-744-3677

Provider Business Practice Location Address
First Line	:	600 E 4TH ST
Second Line	:
City	:	EAST LIVERPOOL
State	:	OH
Zip	:	43920-3418
Country	:	US
Telephone Number	:	330-385-4732
Fax Number	:	330-744-3677

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. NANCY J VOITUS
Credential	:
Telephone Number	:	330-744-3320

Provider Enumeration Date	:	07/10/2014
Last Update Date	:	07/08/2024

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Directions to “CATHOLIC CHARITIES REGIONAL AGENCY ” Practice Location

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