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NPI Code Detail

MEDICARE: ITALIAN HOME FOR CHILDREN INC

MEDICARE: ITALIAN HOME FOR CHILDREN INC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)4636MA
3322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility
4320800000XMental Illness Community Based Residential Treatment Facility1475185MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2F47287OTHERMANETWORK HEALTH
31019890OTHERMABEACON HEALTH OPTIONS (NOT STRATEGIES)
4110032625OTHERMAMASSHEALTH

General Provider Information

NPI Number : 1063549962
Entity Type Code : Organization
Provider Name (Legal Business Name) : ITALIAN HOME FOR CHILDREN INC
Provider Business Mailing Address
First Line : 1125 CENTRE ST
Second Line :
City : JAMAICA PLAIN
State : MA
Zip : 02130-3445
Country : US
Telephone Number : 617-524-3116
Fax Number : 857-547-1138
Provider Business Practice Location Address
First Line : 1125 CENTRE ST
Second Line :
City : JAMAICA PLAIN
State : MA
Zip : 02130-3445
Country : US
Telephone Number : 617-524-3116
Fax Number :
Authorized Official
Title or Position : VP OF FINANCE
Name : MS. MARIE GLORIEUX
Credential :
Telephone Number : 617-524-3116
Provider Enumeration Date : 02/27/2007
Last Update Date : 03/17/2018

Similar Medicare Providers

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Practice Location Address:
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JAMAICA PLAIN, MA
02130-3445
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1609261387 — MEGHAN COONAN
Practice Location Address:
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JAMAICA PLAIN, MA
02130-3445
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Practice Fax:
1134514730 — JOSHUA S PAULSON
Practice Location Address:
1125 CENTRE ST
JAMAICA PLAIN, MA
02130-3445
Practice Phone: 617-524-3116
Practice Fax:

Directions to “ITALIAN HOME FOR CHILDREN INC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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