| Casa Esperanza, Inc. | |
|
291 Eustis St Roxbury MA 02119-2826 | |
| (617) 445-1123 | |
| Not Available |
| Full Name | Casa Esperanza, Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 291 Eustis St, Roxbury, Massachusetts |
| Authorized Official Name and Position | Eva Jackson (DIRECTOR REVENUE CYCLE MANAGEMENT) |
| Authorized Official Contact | 6178225594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Casa Esperanza, Inc. 302 Eustis St Roxbury MA 02119-3800 Ph: (617) 445-1123 | Casa Esperanza, Inc. 291 Eustis St Roxbury MA 02119-2826 Ph: (617) 445-1123 |
| NPI Number | 1730654070 |
|---|---|
| Provider Enumeration Date | 10/12/2018 |
| Last Update Date | 10/12/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730654070 | NPI | - | NPPES |
| 04298 | Other | MA | TUFTS HEALTH PLAN |
| 110082430B | Medicaid | MA | |
| 43324 | Other | MA | BEACON HEALTH STRATEGIES |
| 43304 | Other | MA | BEACON MBHP VALUE OPTION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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