Provider Demographics
NPI:1578979563
Name:CATHOLIC CHARITIES REGIONAL AGENCY
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES REGIONAL AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:VOITUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-744-3320
Mailing Address - Street 1:319 W RAYEN AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44502-1119
Mailing Address - Country:US
Mailing Address - Phone:330-744-3320
Mailing Address - Fax:330-744-3677
Practice Address - Street 1:600 E 4TH ST
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-3418
Practice Address - Country:US
Practice Address - Phone:330-385-4732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-10
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174200000XOther Service ProvidersMeals
No251V00000XAgenciesVoluntary or Charitable
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2251094Medicaid