Italian Home for Children

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

1475185 Issued in MA

Legal business name

ITALIAN HOME FOR CHILDREN

Practice address

77B Warren Street
Building 2
Brighton, MA 02135

Phone

(617) 787-1901

NPI assigned

Apr 10, 2015

Organization subpart

No

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

Authorized official

Name

Christine M Leary

Title

Senior Staff Accountant

Phone

(617) 524-3116

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Italian Home for Children2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Italian Home for Children Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Jamaica Plain, MA
  • NPI 1063549962
  NPD tax ID

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

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1265828768",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77B WARREN STREET",
            "address_2": "BUILDING 2",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "02135",
            "telephone_number": "617-787-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITALIAN HOME FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "LEARY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR STAFF ACCOUNTANT",
        "authorized_official_telephone_number": "617-524-3116"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MA",
            "license": "1475185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063549962",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922043876",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Summaiya Iqbal, MD
• Christopher Rollin Irish, MS, RD
• Elizabeth A. Irvin, MSW
• Irving L Weissman MD, PC
• Marta Isajiw, LICSW
• Shilpa Ivaturi
• Bertrand L. Jaber, MD
• Frank Ian Jackson, DO
• Jessica Jackson, LICSW
• Kenneth B Jaeger, LICSW

• Mental Illness Community Based Residential Treatment Facility in Brighton, MA
• Providers in Brighton, MA by specialty
• Mental Illness Community Based Residential Treatment Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; 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.