Organization Active NPI

Home for Little Wanderers Sah Boston

  • Mental Illness Community Based Residential Treatment Facility
  • Dorchester, MA
National Provider Identifier
1487101952
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
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

Updated by the provider on Sep 1, 2016

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.