Active NPI
Italian Home for Children Inc
- Mental Illness Community Based Residential Treatment Facility
- Jamaica Plain, MA
National Provider Identifier
1063549962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- 1475185
- Legal business name
- ITALIAN HOME FOR CHILDREN INC
- Practice address
- 1125 Centre St
Jamaica Plain, MA 02130-3445 - Phone
- (617) 524-3116
- NPI assigned
- Feb 27, 2007
- Last updated
- Mar 17, 2018
- 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
- Ms. Marie Glorieux
- Title
- VP of Finance
- Phone
- (617) 524-3116
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 4636 | MA | |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | 1475185 | MA | Primary |
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
1125 Centre St
Jamaica Plain, MA 02130-3445
Mailing address
1125 Centre St
Jamaica Plain, MA 02130-3445
Phone (617) 524-3116
Other practice location 1
77 Warren St # B
Brighton, MA 02135-3601
Phone (617) 787-1901 ext. 104
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019890 | Other | MA | BEACON HEALTH OPTIONS (NOT STRATEGIES) |
| F47287 | Other | MA | NETWORK HEALTH |
| 110032625 | Other | MA | MASSHEALTH |
| 1899929 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Italian Home for Children
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Brighton, MA
- NPI 1265828768
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brighton, MA
- NPI 1922043876
Member Of
Locations
77 Warren St
#B
Brighton, MA 02135
Phone (617) 787-1901
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Brighton, MA
- NPI 1619002086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1063549962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 CENTRE ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021303445",
"telephone_number": "617-524-3116",
"fax_number": "857-547-1138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 CENTRE ST",
"city": "JAMAICA PLAIN",
"state": "MA",
"postal_code": "021303445",
"telephone_number": "617-524-3116"
}
],
"practiceLocations": [
{
"address_1": "77 Warren St # B",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MA",
"postal_code": "021353601",
"country_code": "US",
"telephone_number": "617-787-1901 x104",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ITALIAN HOME FOR CHILDREN INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "GLORIEUX",
"authorized_official_first_name": "MARIE",
"authorized_official_title_or_position": "VP OF FINANCE",
"authorized_official_telephone_number": "617-524-3116",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "MA",
"license": "4636",
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "MA",
"license": "1475185",
"primary": true
},
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH OPTIONS (NOT STRATEGIES)",
"identifier": "1019890",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "F47287",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH",
"identifier": "110032625",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1899929",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jamaica Plain, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.