VILLAGE REST HOME INC
NPI 1104044981
Exclusive Provider Organization in Brockton, MA
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
Specialties & Licenses
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, MAFrequently 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.