REVOLUTION CHARLWELL LLC
NPI 1013572080
Skilled Nursing Facility in Norwood, MA

Active since May 06, 2019CLIA 22D2205256 · Waiver
305 WALPOLE ST, NORWOOD, MA 02062(781) 762-7700 Get Directions Write a Review

NPPES record last updated: May 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Revolution Charlwell Llc NPPES

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

REVOLUTION CHARLWELL LLC (NPI 1013572080) is a healthcare organization registered as a skilled nursing facility in Norwood, Massachusetts and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through December 13, 2026 and lists Joseph Deutsch, Principal, as its authorized official.

NPPES Registry Identity

NPI1013572080
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameREVOLUTION CHARLWELL LLC
Location Address305 WALPOLE STNorwood, MA 02062-3021
Mailing Address305 Walpole StNorwood, MA 02062-3021
Organization SubpartNo
Authorized OfficialJoseph DeutschPrincipal · (781) 762-7700
Enumeration DateMay 6, 2019
NPI 1013572080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
305 WALPOLE ST, Norwood, MA 02062

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 22D2205256

Revolution At Charlwell · Norwood, MA
Active · expires Dec 13, 2026
CLIA Number22D2205256
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 14, 2024
Certificate Expiration DateDecember 13, 2026
Laboratory DirectorChristopher J. Roberts
Laboratory Phone(781) 762-7700
Laboratory LocationRevolution At Charlwell305 Walpole Street, Norwood, MA 02062
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Skilled Nursing Facility
305 WALPOLE ST
NORWOOD, MA 02062
Occupational Therapist
305 WALPOLE ST
NORWOOD, MA 02062
Skilled Nursing Facility
305 WALPOLE ST
NORWOOD, MA 02062
Physical Therapist
305 WALPOLE ST
NORWOOD, MA 02062
Student in an Organized Health Care Education/Training Program
305 WALPOLE ST
NORWOOD, MA 02062
Physical Therapy Assistant
305 WALPOLE ST
NORWOOD, MA 02062
Skilled Nursing Facility
305 WALPOLE ST
NORWOOD, MA 02062
Skilled Nursing Facility
305 WALPOLE ST
NORWOOD, MA 02062

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 Revolution Charlwell LLC's NPI number?

The NPI number for Revolution Charlwell LLC is 1013572080. It was assigned to this organization in the NPPES registry on May 6, 2019.

Where is Revolution Charlwell LLC located?

Revolution Charlwell LLC is located at 305 Walpole St, Norwood, MA 02062. The listed phone number is (781) 762-7700.

What is Revolution Charlwell LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Revolution Charlwell LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2205256) is associated with this NPI, valid through December 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Revolution Charlwell LLC was last updated on May 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.