Organization Active NPI

City on a Hill Charter School

  • Local Education Agency (LEA)
  • Roxbury, MA
National Provider Identifier
1982735114
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CITY ON A HILL CHARTER SCHOOL
Practice address
58 Circuit Street
Roxbury, MA 02119
Phone
(781) 986-1785
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Ms. Nancy Reilly
Title
Revenue Administrator
Phone
(781) 986-1785

Specialties & licenses 1

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

Addresses

Primary practice location

58 Circuit Street
Roxbury, MA 02119

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1956141MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1982735114",
    "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": "58 CIRCUIT STREET",
            "city": "ROXBURY",
            "state": "MA",
            "postal_code": "02119",
            "telephone_number": "781-986-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY ON A HILL CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "REVENUE ADMINISTRATOR",
        "authorized_official_telephone_number": "781-986-1785",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1956141",
            "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 Jun 25, 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.