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BROOKHAVEN ASSISTED LIVING LLC
NPI 1003462276
Custodial Care Facility in West Brookfield, MA

Active since August 14, 2019CLIA 22D2209550 · Waiver
19 W MAIN ST, WEST BROOKFIELD, MA 01585(508) 867-3325 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brookhaven Assisted Living Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKHAVEN ASSISTED LIVING LLC (NPI 1003462276) is a healthcare organization registered as a custodial care facility in West Brookfield, Massachusetts and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through January 13, 2027 and lists Waqar Tajuddin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1003462276
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameBROOKHAVEN ASSISTED LIVING LLC
Location Address19 W MAIN STWest Brookfield, MA 01585-2823
Mailing Address19 W Main StWest Brookfield, MA 01585-2823 · (617) 306-1900
Phone(508) 867-3325
Organization SubpartNo
Authorized OfficialWaqar TajuddinAdministrator · (617) 306-1900
Enumeration DateAugust 14, 2019
✔ NPI 1003462276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
19 W MAIN ST, West Brookfield, MA 01585
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2209550

Brookhaven Assisted Care, LLC · West Brookfield, MA
Active · expires Jan 13, 2027
CLIA Number22D2209550
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 14, 2025
Certificate Expiration DateJanuary 13, 2027
Laboratory DirectorErin M. Glazier
Laboratory Phone(508) 847-5662
Laboratory LocationBrookhaven Assisted Care, LLC19 West Main Street, West Brookfield, MA 01585
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTRAL MASS HOME CARE LLC
Home Health
19 W MAIN ST
WEST BROOKFIELD, MA 01585
Worcester County (508) 612-7525

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brookhaven Assisted Living LLC's NPI number?

The NPI number for Brookhaven Assisted Living LLC is 1003462276. It was assigned to this organization in the NPPES registry on August 14, 2019.

Where is Brookhaven Assisted Living LLC located?

Brookhaven Assisted Living LLC is located at 19 W Main St, West Brookfield, MA 01585. The listed phone number is (508) 867-3325.

What is Brookhaven Assisted Living LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

Does Brookhaven Assisted Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2209550) is associated with this NPI, valid through January 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brookhaven Assisted Living LLC was last updated on August 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.