Organization Active NPI

La Alianza Hispana, Inc

  • Adult Day Care Clinic/Center
  • Roxbury, MA
National Provider Identifier
1023232998
Registry record updated May 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
LA ALIANZA HISPANA, INC
Practice address
409 Dudley St
Roxbury, MA 02119-3366
Phone
(617) 427-7175
Fax
(617) 442-2259
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2009

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

Authorized official

Name
Rosa Maria Colon
Title
Contract Manager
Phone
(617) 427-7175

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

409 Dudley St
Roxbury, MA 02119-3366

Mailing address

409 Dudley St
Roxbury, MA 02119-3366
Phone (617) 427-7175

Other identifiers 1

IdentifierTypeStateIssuer
1901559MedicaidMA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1023232998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 DUDLEY ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193366",
            "telephone_number": "617-427-7175",
            "fax_number": "617-442-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 DUDLEY ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193366",
            "telephone_number": "617-427-7175",
            "fax_number": "617-442-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA ALIANZA HISPANA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "ROSA MARIA",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "617-427-7175"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1901559",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.