ITALIAN HOME FOR CHILDREN INC (NPI# 1063549962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063549962 |
| Entity Type | Organization |
| Organization Name | ITALIAN HOME FOR CHILDREN INC |
| Practice Address |
1125 Centre St Jamaica Plain MA 02130-3445 |
| Practice Telephone | 6175243116 |
| Mailing Telephone | 6175243116 |
| Mailing Fax Number | 8575471138 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MS. MARIE GLORIEUX (VP OF FINANCE) |
| Authorized Official Telephone | 6175243116 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
4636 | MA | Ambulatory Health Care Facilities |
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities | ||
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 1475185 | MA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MASSHEALTH | 110032625 | 01 |
| MA | 1899929 | 05 | |
| MA | BEACON HEALTH OPTIONS (NOT STRATEGIES) | 1019890 | 01 |
| MA | NETWORK HEALTH | F47287 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 77 Warren St # B, Brighton, MA 021353601 | 6177871901 |
| Street Address |
1125 CENTRE ST |
| City | JAMAICA PLAIN |
| State | MA |
| Zip Code | 02130-3445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996062 | Naomi Chalk | Social Worker | 1125 Centre St, Jamaica Plain, MA 02130-3495 | 2020-09-14 |
| 1760097174 | Katherine Fraser | Social Worker | 1125 Centre St, Jamaica Plain, MA 02130-3495 | 2020-09-11 |
| 1720692239 | Erin Elisabeth Sherman | Behavioral Analyst | 1125 Centre St, Jamaica Plain, MA 02130-3495 | 2020-09-02 |
| 1396354502 | Siyao Li | Counselor | 1125 Centre St, Jamaica Plain, MA 02130-3495 | 2020-07-24 |
| 1366082281 | Ashlee Hall | Counselor | 1125 Centre St, Jamaica Plain, MA 02130-3445 | 2020-01-08 |
| 1578105896 | Caitlin Towle | Counselor | 1125 Centre St, Jamaica Plain, MA 02130-3445 | 2019-10-09 |
| 1790335768 | Kiaina Gomez | Counselor | 1125 Centre St, Jamaica Plain, MA 02130-3445 | 2019-09-12 |
| 1124678131 | Brittany Brady | Counselor | 1125 Centre St, Jamaica Plain, MA 02130-3445 | 2019-09-12 |
| 1962051961 | Madeline George | Counselor | 1125 Centre St, Jamaica Plain, MA 02130-3445 | 2019-09-11 |
| 1487203105 | Kathleen Russo | Counselor | 1125 Centre St, Jamaica Plain, MA 02130-3445 | 2019-09-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144769167 | Aloria Health of Worcester, LLC | Community Based Residential Treatment Facility, Mental Illness | 1183 Main St, Worcester, MA 01603 | 2017-02-23 |
| 1952784506 | Justice Resource Institute | Community Based Residential Treatment Facility, Mental Illness | 262 Crescent St, Waltham, MA 02453-3417 | 2015-07-01 |
| 1639564214 | Northeast Behavioral Associates | Community Based Residential Treatment Facility, Mental Illness | 23 Dailey Rd, Brockton, MA 02302-2250 | 2015-04-01 |
| 1346641313 | Penikese Island School, Inc | Community Based Residential Treatment Facility, Mental Illness | 565 Woods Hole Rd, Woods Hole, MA 02543-1041 | 2014-09-10 |
| 1750780227 | Westbridge Inc | Community Based Residential Treatment Facility, Mental Illness | 275 Mystic Ave, Ste C, Medford, MA 02155-6301 | 2014-08-20 |
| 1780966606 | Walgreens | Community Based Residential Treatment Facility, Mental Illness | 113 Monument St, Medford, MA 02155-3538 | 2011-09-16 |
| 1851627988 | Hampden County Sherriff's Department | Community Based Residential Treatment Facility, Mental Illness | 701 Center St, Chicopee, MA 01013-1588 | 2009-10-24 |
| 1184958423 | Joseph D Reich | Community Based Residential Treatment Facility, Mental Illness | 475 State Rd, Plymouth, MA 02360-5185 | 2009-09-18 |
| 1922127349 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Westborough State Hospital Chauncy Hall, Lyman St Daniels 1, Westborough, MA 01581 | 2007-03-28 |
| 1568580736 | Department of Mental Health | Community Based Residential Treatment Facility, Mental Illness | Brighton Irtp - Everett House, 232 Centre St, Dorchester Center, MA 02124-2334 | 2007-03-27 |
| Find all providers with the same taxonomy | ||||
| City | JAMAICA PLAIN |
| Zip Code | 02130 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.