Provider Demographics
NPI:1174642946
Name:NEIGHBORHOOD HOUSE CHARTER SCHOOL
Entity Type:Organization
Organization Name:NEIGHBORHOOD HOUSE CHARTER SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAGDISH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOKSHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-825-0703
Mailing Address - Street 1:21 QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02122-2509
Mailing Address - Country:US
Mailing Address - Phone:617-825-0703
Mailing Address - Fax:617-825-1829
Practice Address - Street 1:21 QUEEN ST
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02122-2509
Practice Address - Country:US
Practice Address - Phone:617-825-0703
Practice Address - Fax:617-825-1829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1955993OtherMASS HEALTH PROVIDER NUMB