Real Change INC
Community/Behavioral Health in Mattapan, Massachusetts
1083948541- Practice location
- 189 Ruskindale RD, Mattapan, MA 02126-1653
- Phone
- 617-223-7324
- Fax
- —
- Last updated
- December 7, 2009
Real Change INC is a healthcare organization based in Mattapan, MA. Real Change INC practices in Mattapan, MA. The NPI Number for Real Change INC is 1083948541 and holds a License No. 214156 (MA). The current practice location address for Real Change INC is 189 Ruskindale RD, Mattapan, MA 02126-1653 and can be reached out via phone at 617-223-7324.
Provider Profile Details
- NPI Number
- 1083948541
- Provider Name
- Real Change INC
- Provider Entity Type
- Organization
- Address
- 189 Ruskindale RD, Mattapan, MA 02126-1653
- Phone Number
- 617-223-7324
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Mr. Derrick Ervin Harper, MSW, LCSW · President/Ceo · 617-223-7324
- Provider Enumeration Date
- September 30, 2009
- Last Update Date
- December 7, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 189 Ruskindale RD
Mattapan, MA 02126-1653 - City
- Mattapan
- State
- Massachusetts
- Zip
- 02126-1653
- Phone Number
- 617-223-7324
Provider Business Mailing Address Details
- Address
- 189 Ruskindale RD
Mattapan, MA 02126-1653 - City
- Mattapan
- State
- MA
- Zip
- 02126-1653
License Information
- License Number (1)
- 214156
- License State (1)
- MA
- Taxonomy (1)
- Case Management · 251B00000X
- License Number (2)
- 214156
- License State (2)
- MA
- Taxonomy (2)
- In Home Supportive Care · 253Z00000X
- License Number (3)
- 214156
- License State (3)
- MA
- Taxonomy (3)
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Real Change INC?
The NPI number of Real Change INC is 1083948541. It was assigned on September 30, 2009 and is currently active in the NPPES registry.
What is the specialty of Real Change INC?
Real Change INC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in MA under license number 214156.
Where does Real Change INC practice?
The practice location is 189 Ruskindale RD, Mattapan, MA 02126-1653. The office can be reached at 617-223-7324 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083948541 directly on the NPPES registry website.