Organization Active NPI

Atlantis Charter School

  • Local Education Agency (LEA)
  • Fall River, MA
National Provider Identifier
1003948175
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
ATLANTIS CHARTER SCHOOL
Practice address
37 Park St
Fall River, MA 02721-1712
Phone
(781) 986-1785
Fax
(781) 961-6999
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Fernando Goulart
Title
Executive Director
Phone
(781) 986-1785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

37 Park St
Fall River, MA 02721-1712

Mailing address

PO Box 540
Randolph, MA 02368-0540
Phone (781) 986-1785

Other identifiers 1

IdentifierTypeStateIssuer
1955942MedicaidMA

National Provider Directory

National Provider Directory

Locations

37 Park St
Fall River, MA 02721

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1003948175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023680540",
            "telephone_number": "781-986-1785",
            "fax_number": "781-986-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 PARK ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211712",
            "telephone_number": "781-986-1785",
            "fax_number": "781-961-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "GOULART",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "781-986-1785",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1955942",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.