Boston Certified Afc

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

BOSTON CERTIFIED AFC

Practice address

199 Revere St RM 6
Revere, MA 02151-4682

Phone

(857) 201-1412

NPI assigned

Feb 20, 2024

Organization subpart

No

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

Authorized official

Name

Zion Hailu

Title

Ceo

Phone

(857) 201-1412

Specialties & licenses 1

Addresses

Other names 1

• Boston Certified AFC Former legal business name

Locations

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1164287975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 REVERE ST RM 6",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514682",
            "telephone_number": "857-201-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 REVERE ST RM 6",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021514682",
            "telephone_number": "857-201-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON CERTIFIED AFC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "HAILU",
        "authorized_official_first_name": "ZION",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "857-201-1412"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boston Certified AFC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Foster Care Agency in Revere, MA
• Providers in Revere, MA by specialty
• Foster Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.