NPIMap

Organization Active NPI

The Home for Little Wanderers

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Walpole, MA
National Provider Identifier
1144488990
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
THE HOME FOR LITTLE WANDERERS
Practice address
399 Lincoln Rd
Walpole, MA 02081-1218
Phone
(508) 668-7703
Fax
(508) 660-9639
NPI assigned
May 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Ms. Perry E. Baker, MA
Title
Starr Clinician
Phone
(508) 668-7703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MA Primary

Addresses

Primary practice location

399 Lincoln Rd
Walpole, MA 02081-1218

Mailing address

399 Lincoln Rd
Walpole, MA 02081-1218
Phone (508) 668-7703

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2091048Home for Little Wanderers, the399 Lincoln Road, Walpole, MA 02081Certificate of waiverFeb 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
The Home for Little Wanderers3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1144488990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 LINCOLN RD",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811218",
            "telephone_number": "508-668-7703",
            "fax_number": "508-660-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 LINCOLN RD",
            "city": "WALPOLE",
            "state": "MA",
            "postal_code": "020811218",
            "telephone_number": "508-668-7703",
            "fax_number": "508-660-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOME FOR LITTLE WANDERERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "STARR CLINICIAN",
        "authorized_official_telephone_number": "508-668-7703",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walpole, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.