Provider Demographics
NPI:1912024449
Name:CATHOLIC CHARITIES OF SOUTHERN NEVADA
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES OF SOUTHERN NEVADA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:R
Authorized Official - Last Name:LEARY
Authorized Official - Suffix:
Authorized Official - Credentials:MONSIGNOR
Authorized Official - Phone:702-385-2662
Mailing Address - Street 1:531 N 30TH ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-3650
Mailing Address - Country:US
Mailing Address - Phone:702-385-5284
Mailing Address - Fax:702-385-3206
Practice Address - Street 1:531 N 30TH ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-3650
Practice Address - Country:US
Practice Address - Phone:702-385-5284
Practice Address - Fax:702-385-3206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV332U00000X, 251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332U00000XSuppliersHome Delivered Meals
Not Answered251V00000XAgenciesVoluntary or Charitable