VILLAGE REST HOME INC
NPI 1104044981
Exclusive Provider Organization in Brockton, MA

Active since April 24, 2007CLIA 22D2119616 · Waiver
197 W CHESTNUT ST, BROCKTON, MA 02301(508) 583-0040 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Village Rest Home Inc NPPES

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

VILLAGE REST HOME INC (NPI 1104044981) is a healthcare organization registered as an exclusive provider organization in Brockton, Massachusetts and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Guy Marcellus, Director, as its authorized official.

NPPES Registry Identity

NPI1104044981
Entity TypeOrganization
Primary Taxonomy302F00000X
Legal Business NameVILLAGE REST HOME INC
Location Address197 W CHESTNUT STBrockton, MA 02301-6753
Mailing Address30 Sinclair RdBrockton, MA 02302-4452
Organization SubpartNo
Authorized OfficialGuy MarcellusDirector · (508) 583-0040
Enumeration DateApril 24, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1104044981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyExclusive Provider OrganizationManaged Care Organizations
Taxonomy Code302F00000X
Definition
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
197 W CHESTNUT ST, Brockton, MA 02301

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 22D2119616

Village Rest Home Of Brockton · Brockton, MA
Active · expires Sep 29, 2026
CLIA Number22D2119616
Laboratory TypeRest Home
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorYves M. Lyncee
Laboratory Phone(508) 583-0040
Laboratory LocationVillage Rest Home Of Brockton197 W Chestnut St, Brockton, MA 02301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Village Rest Home Inc's NPI number?

The NPI number for Village Rest Home Inc is 1104044981. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Village Rest Home Inc located?

Village Rest Home Inc is located at 197 W Chestnut St, Brockton, MA 02301. The listed phone number is (508) 583-0040.

What is Village Rest Home Inc's specialty?

The primary specialty registered for this NPI is Exclusive Provider Organization with taxonomy code 302F00000X.

Does Village Rest Home Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2119616) is associated with this NPI, valid through September 29, 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 Village Rest Home Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.