NPIMap

Organization Active NPI

The Home for Little Wanderers

  • Community/Behavioral Health Agency
  • Jamaica Plain, MA
National Provider Identifier
1326412685
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE HOME FOR LITTLE WANDERERS
Practice address
19 Dalrymple St
Unit D
Jamaica Plain, MA 02130-4543
Phone
(617) 302-7814
NPI assigned
Nov 23, 2015
Last updated
Nov 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
Kacey BongarzoneNPI 1194006239
Title
Clinician
Phone
(617) 302-7814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

19 Dalrymple St
Unit D
Jamaica Plain, MA 02130-4543

Mailing address

19 Dalrymple St
Unit D
Jamaica Plain, MA 02130-4543

National Provider Directory

National Provider Directory
Tax ID family
New England Home for Li5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1326412685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 DALRYMPLE ST",
            "address_2": "UNIT D",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 DALRYMPLE ST",
            "address_2": "UNIT D",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304543",
            "telephone_number": "617-302-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOME FOR LITTLE WANDERERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "BONGARZONE",
        "authorized_official_first_name": "KACEY",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "617-302-7814"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 23, 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.