Active NPI
Home for Little Wanderers Sah Boston
- Mental Illness Community Based Residential Treatment Facility
- Dorchester, MA
National Provider Identifier
1487101952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- HOME FOR LITTLE WANDERERS SAH BOSTON
- Practice address
- 50 Redfield St
Unit 300
Dorchester, MA 02122 - Phone
- (617) 285-4124
- NPI assigned
- Sep 1, 2016
- 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
- Ranell J Dillon
- Title
- TM
- Phone
- (617) 285-4124
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
50 Redfield St
Unit 300
Dorchester, MA 02122
Mailing address
14 Sherman St
Everett, MA 02149
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472688000000",
"number": "1487101952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 SHERMAN ST",
"city": "EVERETT",
"state": "MA",
"postal_code": "02149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 REDFIELD ST",
"address_2": "UNIT 300",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "02122",
"telephone_number": "617-285-4124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOME FOR LITTLE WANDERERS SAH BOSTON",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A",
"authorized_official_last_name": "DILLON",
"authorized_official_first_name": "RANELL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "TM",
"authorized_official_telephone_number": "617-285-4124"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.