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CRESCENT MANOR ASSISTED CARE LLC
NPI 1285230938
Custodial Care Facility in Grafton, MA

Active since December 08, 2020CLIA 22D2278629 · Waiver
5 CRESCENT ST, GRAFTON, MA 01519(508) 839-2124 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Crescent Manor Assisted Care Llc NPPES

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

CRESCENT MANOR ASSISTED CARE LLC (NPI 1285230938) is a healthcare organization registered as a custodial care facility in Grafton, Massachusetts and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through March 20, 2027 and lists Irshad Sideeka, Manager/member, as its authorized official.

NPPES Registry Identity

NPI1285230938
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameCRESCENT MANOR ASSISTED CARE LLC
Location Address5 CRESCENT STGrafton, MA 01519-1221
Mailing Address38 Welch RdBrookline, MA 02445-7526 · (161) 775-1044
Phone(508) 839-2124
Organization SubpartNo
Authorized OfficialIrshad SideekaManager/member · (617) 751-0444
Enumeration DateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
✔ NPI 1285230938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
5 CRESCENT ST, Grafton, MA 01519
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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 22D2278629

Crescent Manor Assisted Care, LLC · Grafton, MA
Active · expires Mar 20, 2027
CLIA Number22D2278629
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorMs. Donna Gebo
Laboratory Phone(508) 847-5662
Laboratory LocationCrescent Manor Assisted Care, LLC5 Crescent St, Grafton, MA 01519
CLIA data matches this NPI record on: Address Name
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.

CRESCENT MANOR REST HOME, INC
Custodial Care Facility
5 CRESCENT ST
GRAFTON, MA 01519
Worcester County (508) 839-2124

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 Crescent Manor Assisted Care LLC's NPI number?

The NPI number for Crescent Manor Assisted Care LLC is 1285230938. It was assigned to this organization in the NPPES registry on December 8, 2020.

Where is Crescent Manor Assisted Care LLC located?

Crescent Manor Assisted Care LLC is located at 5 Crescent St, Grafton, MA 01519. The listed phone number is (508) 839-2124.

What is Crescent Manor Assisted Care LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

Does Crescent Manor Assisted Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2278629) is associated with this NPI, valid through March 20, 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 Crescent Manor Assisted Care LLC was last updated on December 8, 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.