NPIMap

Organization Active NPI

Home for Little Wanderers

  • Community/Behavioral Health Agency
  • Somerville, MA
National Provider Identifier
1639466402
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOME FOR LITTLE WANDERERS
Practice address
11 Ward Street
Second Floor
Somerville, MA 02143-4214
Phone
(617) 629-6793
NPI assigned
Jun 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Mr. Kris Sanborn
Title
Clinical Social Worker
Phone
(617) 629-6793

Specialties & licenses 1

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

Addresses

Primary practice location

11 Ward Street
Second Floor
Somerville, MA 02143-4214

Mailing address

11 Ward St
2ND Floor,
Somerville, MA 02143-4214

National Provider Directory

National Provider Directory
Tax ID family
The Home for Little Wanderers3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

11 Ward St
Fl Second
Somerville, MA 02143
Phone (617) 629-6790

11 Ward St
Fl 2
Somerville, MA 02143
Phone (617) 284-2250

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1639466402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WARD ST",
            "address_2": "2ND FLOOR,",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021434214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WARD STREET",
            "address_2": "SECOND FLOOR",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021434214",
            "telephone_number": "617-629-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME FOR LITTLE WANDERERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "SANBORN",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "617-629-6793",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.