NPIMap

Organization Active NPI

Casa Esperanza, Inc.

  • Adult Mental Health Clinic/Center
  • Roxbury, MA
National Provider Identifier
1649745985
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CASA ESPERANZA, INC.
Practice address
263 Eustis St
Roxbury, MA 02119-2826
Phone
(617) 445-1123
NPI assigned
Oct 12, 2018
Organization subpart
Yes
Parent organization
CASA ESPERANZA, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Authorized official

Name
Eva Jackson
Title
Director Revenue Cycle Management
Phone
(617) 445-1123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X MA Primary

Addresses

Primary practice location

263 Eustis St
Roxbury, MA 02119-2826

Mailing address

302 Eustis St
Roxbury, MA 02119-3800
Phone (617) 445-1123

Other identifiers 4

IdentifierTypeStateIssuer
43307OtherMABEACON HEALTH OPTIONS MBHP VALUE OPTIONS
43324OtherMABEACON HEALTH STRATEGIES
110082430BMedicaidMA
04298OtherMATUFTS HEALTH TOGETHER

National Provider Directory

National Provider Directory
Tax ID family
Casa Esperanza Inc4 organizations share this tax ID, including this one
Part of
Casa Esperanza Inc

Other organizations with this tax ID 3

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

Locations

263 Eustis St
Roxbury, MA 02119
Phone (617) 445-1123

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1649745985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 EUSTIS ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021193800",
            "telephone_number": "617-445-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 EUSTIS ST",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "021192826",
            "telephone_number": "617-445-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA ESPERANZA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASA ESPERANZA, INC.",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "EVA",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "617-445-1123"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH OPTIONS MBHP VALUE OPTIONS",
            "identifier": "43307",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH STRATEGIES",
            "identifier": "43324",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110082430B",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH TOGETHER",
            "identifier": "04298",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.