EAST VILLAGE PLACE
NPI 1356696603
Assisted Living Facility in East Longmeadow, MA

Active since July 23, 2012CLIA 22D2240177 · Waiver
50 BENTON DR, EAST LONGMEADOW, MA 01028(413) 525-1391(413) 525-1207 Get Directions Write a Review

NPPES record last updated: July 23, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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
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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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MARIE ELIZABETH NAPOLITAN OTR/L

Authorized Official Title
OCCUPATIONAL THERAPIST
Authorized Official Phone
(413) 525-1391

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.

Reviews for EAST VILLAGE PLACE

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Assisted Living Facility
50 BENTON DR
EAST LONGMEADOW, MA 01028

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.