Provider Demographics
NPI:1912966086
Name:CATHOLIC CHARITIES-DIOCESE OF TOLEDO, INC.
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES-DIOCESE OF TOLEDO, INC.
Other - Org Name:CATHOLIC CHARITIES
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LOU
Authorized Official - Middle Name:
Authorized Official - Last Name:COCCHIARELLA
Authorized Official - Suffix:
Authorized Official - Credentials:JD, MTS
Authorized Official - Phone:419-244-6711
Mailing Address - Street 1:1933 SPIELBUSCH AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43624-1360
Mailing Address - Country:US
Mailing Address - Phone:419-244-6711
Mailing Address - Fax:419-244-4860
Practice Address - Street 1:1933 SPIELBUSCH AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43624-1360
Practice Address - Country:US
Practice Address - Phone:419-244-6711
Practice Address - Fax:419-244-4860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH11179251V00000X
OH10570251V00000X
OH10634251V00000X
OH11207251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3299Medicare UPIN