1144439977 NPI number — ROBERT F. KENNEDY CHILDREN'S ACTION CORPS, INC.

Table of content: (NPI 1144439977)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144439977 NPI number — ROBERT F. KENNEDY CHILDREN'S ACTION CORPS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBERT F. KENNEDY CHILDREN'S ACTION CORPS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
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NPI Number Information

NPI Number:
1144439977
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11 BEACON ST STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BOSTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02108-3025
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
617-227-4183
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
220 OLD COMMON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01523-2208
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-365-2803
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/21/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WELLS
Authorized Official First Name:
ALDEN
Authorized Official Middle Name:
Authorized Official Title or Position:
C.F.O.
Authorized Official Telephone Number:
617-227-4183

Provider Taxonomy Codes

  • Taxonomy code: 322D00000X , with the licence number:  1475389 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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