Organization Active NPI

Boston Renaissance Charter School

  • Local Education Agency (LEA)
  • Boston, MA
National Provider Identifier
1609908789
Registry record updated Jun 17, 2008
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Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
BOSTON RENAISSANCE CHARTER SCHOOL
Practice address
250 Stuart St
Boston, MA 02116-5435
Phone
(781) 986-1785
Fax
(781) 961-6999
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mr. Kevin Cherry
Title
Chief Financial Officer
Phone
(781) 986-1785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

250 Stuart St
Boston, MA 02116-5435

Mailing address

PO Box 540
Randolph, MA 02368-0540
Phone (781) 986-1785

Other identifiers 1

IdentifierTypeStateIssuer
1955748MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1609908789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023680540",
            "telephone_number": "781-986-1785",
            "fax_number": "781-961-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 STUART ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165435",
            "telephone_number": "781-986-1785",
            "fax_number": "781-961-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON RENAISSANCE CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "781-986-1785",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1955748",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.