EAST VILLAGE PLACE
NPI 1356696603
Assisted Living Facility in East Longmeadow, MA
- Organization
- Assisted Living Facility
- CLIA Number: 22D2240177
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 10-17-2027
About EAST VILLAGE PLACE
This page provides the complete NPI Profile along with additional information for East Village Place, a provider established in East Longmeadow, Massachusetts operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1356696603 assigned on July 2012. The practitioner's primary taxonomy code is 310400000X with license number 3749 (MA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mrs. Marie Elizabeth Napolitan Otr/l (Occupational Therapist)
- NPI
- 1356696603 Verify this NPI
- Provider Name
- EAST VILLAGE PLACE
- Entity Type
- Organization
- Location Address
- 50 BENTON DR EAST LONGMEADOW, MA 01028
- Location Phone
- (413) 525-1391
- Location Fax
- (413) 525-1207
- Mailing Address
- 50 BENTON DR EAST LONGMEADOW, MA 01028
- Mailing Phone
- (413) 525-1391
- Mailing Fax
- (413) 525-1207
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-23-2012
- Last Update Date
- 07-23-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 3749
- License State
- MA
- Taxonomy Description
- A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 22D2240177
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- October 18, 2025
- Certificate Expiration Date
- October 17, 2027
- Laboratory Director
- MAY AWKAL-MATISEWSKI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to East Village Place to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356696603, enumerated as an "organization" on July 23, 2012.
The provider is located at 50 BENTON DR EAST LONGMEADOW, MA 01028 and the phone number is (413) 525-1391.
Assisted Living Facility with taxonomy code 310400000X.
