LA ALIANZA HISPANA INC NPI 1023232998

NPI Information

NPI: 1023232998
Provider Name: LA ALIANZA HISPANA, INC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

CLIA Number: 22D2111533

Address:
409 DUDLEY ST
ROXBURY, MA
ZIP 02119
Phone: (617) 427-7175
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LA ALIANZA HISPANA, INC is an adult day care clinic center in Roxbury, MA. LA ALIANZA HISPANA, INC NPI is 1023232998. The provider is registered as an organization entity type.

The provider's business location address is:

409 DUDLEY ST
ROXBURY, MA
ZIP 02119-366
Phone: (617) 427-7175
Fax: (617) 442-2259

The provider's authorized official is Rosa Maria Colon .
The authorized official title is Contract Manager and has the following contact phone number (617) 427-7175.

The CLIA number assigned to this NPI record is 22D2111533 - other - adult day health program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 5/4/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	261QA0600X	Clinic/Center	Adult Day Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1901559	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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