THE HOME FOR LITTLE WANDERERS; NPI #1801932165

Contact Information

THE HOME FOR LITTLE WANDERERS

77 BRIGHTON AVE
BUILDING #4
ALLSTON, MA 02134-2109

Phone: 617-254-1140
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Medically Fragile Infants and Children Day Care	261QM3000X

Indicates primary specialty

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NPI Profile & details for THE HOME FOR LITTLE WANDERERS

NPI # 1801932165

LBN Legal business name THE HOME FOR LITTLE WANDERERS

Authorized official NINA ROSENBERG - (DIRECTOR, CORPORATE COMPLIANCE)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/30/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

MA	Medicaid	1803182
MA	Other	SCDPH36015005191	STATE CONTRACT NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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