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WILLOWBROOK MANOR REST HOME
NPI 1134549645
Nursing Facility/Intermediate Care Facility in Millis, MA

Active since April 23, 2014CLIA 22D2202534 · Waiver

NPPES record last updated: April 23, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Willowbrook Manor Rest Home NPPES

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

WILLOWBROOK MANOR REST HOME (NPI 1134549645) is a healthcare organization registered as a nursing facility/intermediate care facility in Millis, Massachusetts and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through November 29, 2026 and lists Annette Fernandez, President, as its authorized official.

NPPES Registry Identity

NPI1134549645
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameCHARLES GROUP HOLDINGS INC
Location Address71 UNION STMillis, MA 02054-1269
Mailing Address213 Shannon DrWhitinsville, MA 01588-3319 · (502) 649-6604
Phone(508) 376-5083
Organization SubpartNo
Authorized OfficialAnnette FernandezPresident · (502) 649-6604
Enumeration DateApril 23, 2014
✔ NPI 1134549645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
71 UNION ST, Millis, MA 02054
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Other Names 1

Doing Business AsWillowbrook Manor Rest Home

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 22D2202534

Willowbrook Manor Rest Home · Millis, MA
Active · expires Nov 29, 2026
CLIA Number22D2202534
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 30, 2024
Certificate Expiration DateNovember 29, 2026
Laboratory DirectorHemanth Hari
Laboratory Phone(508) 376-5083
Laboratory LocationWillowbrook Manor Rest Home71 Union Street, Millis, MA 02054
CLIA data matches this NPI record on: Address Name 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.

ROMAR HEALTH CORP.
Custodial Care Facility (Adult Care Home)
71 UNION ST
MILLIS, MA 02054
Norfolk County (508) 376-5083

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 Charles Group Holdings Inc's NPI number?

The NPI number for Charles Group Holdings Inc is 1134549645. It was assigned to this organization in the NPPES registry on April 23, 2014. The provider is doing business as Willowbrook Manor Rest Home.

Where is Charles Group Holdings Inc located?

Charles Group Holdings Inc is located at 71 Union St, Millis, MA 02054. The listed phone number is (508) 376-5083.

What is Charles Group Holdings Inc's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Charles Group Holdings Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2202534) is associated with this NPI, valid through November 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 Charles Group Holdings Inc was last updated on April 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.