Provider Demographics
NPI:1982902151
Name:CATHOLIC CHARITIES ARCHDIOCESE OF NEW ORLEANS
Entity Type:Organization
Organization Name:CATHOLIC CHARITIES ARCHDIOCESE OF NEW ORLEANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:
Authorized Official - Last Name:WADGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-596-3099
Mailing Address - Street 1:1000 HOWARD AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70113-1903
Mailing Address - Country:US
Mailing Address - Phone:504-596-3099
Mailing Address - Fax:504-394-8867
Practice Address - Street 1:1000 HOWARD AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70113-1903
Practice Address - Country:US
Practice Address - Phone:504-596-3099
Practice Address - Fax:504-394-8867
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-11
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities