Active NPI
La Alianza Hispana, Inc
- Adult Day Care Clinic/Center
- Roxbury, MA
National Provider Identifier
1023232998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1901559 | Medicaid | MA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Roxbury, MA
- NPI 1548345465
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.