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ST. LUKE'S HOME
NPI 1124019393
Custodial Care Facility - Adult Care Home in Springfield, MA

Active since November 04, 2005CLIA 22D2204524 · Waiver
85 SPRING ST, SPRINGFIELD, MA 01105(413) 736-5494(413) 746-5075 Get Directions Write a Review

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

About St. Luke's Home NPPES

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

ST. LUKE'S HOME (NPI 1124019393) is a healthcare organization registered as an adult care home in Springfield, Massachusetts and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through December 8, 2026 and lists Cynthia A Brown, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124019393
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameST. LUKE'S HOME
Location Address85 SPRING STSpringfield, MA 01105-1211
Mailing Address85 Spring StSpringfield, MA 01105-1211 · (413) 736-5494 · Fax (413) 746-5075
Phone(413) 736-5494
Fax(413) 746-5075
Organization SubpartNo
Authorized OfficialCynthia A BrownAdministrator · (413) 736-5494
Enumeration DateNovember 4, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1124019393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in MA · 863
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
85 SPRING ST, Springfield, MA 01105
Open in Google Maps ↗

Other Identifiers 1

Medicaid5508312MA

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 22D2204524

Trinity Continuing Care Services Dba St Lukes Home · Springfield, MA
Active · expires Dec 8, 2026
CLIA Number22D2204524
Laboratory TypeRest Home
Certificate Effective DateDecember 9, 2024
Certificate Expiration DateDecember 8, 2026
Laboratory DirectorBarbara Tadeo
Laboratory Phone(413) 736-5494
Laboratory LocationTrinity Continuing Care Services Dba St Lukes Home85 Spring St, Springfield, MA 01105
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

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

TRINITY CONTINUING CARE SERVICE
Custodial Care Facility (Adult Care Home)
85 SPRING ST
SPRINGFIELD, MA 01105
Hampden County (413) 736-5494

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 St. Luke's Home's NPI number?

The NPI number for St. Luke's Home is 1124019393. It was assigned to this organization in the NPPES registry on November 4, 2005.

Where is St. Luke's Home located?

St. Luke's Home is located at 85 Spring St, Springfield, MA 01105. The listed phone number is (413) 736-5494.

What is St. Luke's Home's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does St. Luke's Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2204524) is associated with this NPI, valid through December 8, 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 St. Luke's Home 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.