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MILL POND ASSISTED CARE LLC
NPI 1063239069
Assisted Living Facility in Ashland, MA

Active since September 23, 2024CLIA 22D2234095 · Waiver
84 MYRTLE ST, ASHLAND, MA 01721(617) 319-2914 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mill Pond Assisted Care Llc NPPES

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

MILL POND ASSISTED CARE LLC (NPI 1063239069) is a healthcare organization registered as an assisted living facility in Ashland, Massachusetts and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Jamshed Khan, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1063239069
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMILL POND ASSISTED CARE LLC
Location Address84 MYRTLE STAshland, MA 01721-1113
Mailing Address38 Welch RdBrookline, MA 02445-7526 · (617) 319-2914
Phone(617) 319-2914
Organization SubpartNo
Authorized OfficialJamshed KhanManaging Partner · (617) 319-2914
Enumeration DateSeptember 23, 2024
NPPES CertifiedSeptember 23, 2024
✔ NPI 1063239069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
84 MYRTLE ST, Ashland, MA 01721
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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 22D2234095

Mill Pond Assitisted Care · Ashland, MA
Active · expires Aug 26, 2027
CLIA Number22D2234095
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorKim C. Cooper
Laboratory Phone(508) 881-1360
Laboratory LocationMill Pond Assitisted Care84 Myrtle St, Ashland, MA 01721
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.

LONG TERM CENTERS OF NEW ENGLAND INC
Custodial Care Facility
84 MYRTLE ST
ASHLAND, MA 01721
Middlesex County (508) 881-1360

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 Mill Pond Assisted Care LLC's NPI number?

The NPI number for Mill Pond Assisted Care LLC is 1063239069. It was assigned to this organization in the NPPES registry on September 23, 2024.

Where is Mill Pond Assisted Care LLC located?

Mill Pond Assisted Care LLC is located at 84 Myrtle St, Ashland, MA 01721. The listed phone number is (617) 319-2914.

What is Mill Pond Assisted Care LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Mill Pond Assisted Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2234095) is associated with this NPI, valid through August 26, 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 Mill Pond Assisted Care LLC was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.