Organization Active NPI

Archer Angels Family Services LLC

  • Foster Care Agency
  • Mattapan, MA
National Provider Identifier
1720387707
Registry record updated Mar 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
ARCHER ANGELS FAMILY SERVICES LLC
Practice address
23 Wilmore St
Suite 1
Mattapan, MA 02126-1811
Phone
(617) 690-3633
NPI assigned
Mar 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2011

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

Authorized official

Name
Rebecca Belizaire
Title
Director & Manager
Phone
(617) 690-3633

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Foster Care Agency 253J00000X Primary
Assisted Living Facility 310400000X
Mental Illness Community Based Residential Treatment Facility 320800000X

Addresses

Primary practice location

23 Wilmore St
Suite 1
Mattapan, MA 02126-1811

Mailing address

23 Wilmore St
Suite 1
Mattapan, MA 02126-1811
Phone (617) 690-3633

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300233600000",
    "number": "1720387707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WILMORE ST",
            "address_2": "SUITE 1",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021261811",
            "telephone_number": "617-690-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WILMORE ST",
            "address_2": "SUITE 1",
            "city": "MATTAPAN",
            "state": "MA",
            "postal_code": "021261811",
            "telephone_number": "617-690-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHER ANGELS FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-16",
        "last_updated": "2011-03-16",
        "status": "A",
        "authorized_official_last_name": "BELIZAIRE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DIRECTOR & MANAGER",
        "authorized_official_telephone_number": "617-690-3633"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mattapan, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.