PENNY LANE ASSISTED CARE LLC
NPI 1396442240
Lodging in Fitchburg, MA

NPI Status: Active since February 10, 2023

Contact Information

222 SOUTH ST
FITCHBURG, MA
ZIP 01420
Phone: (978) 343-7400

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  • Organization
  • Lodging
  • CLIA Number: 22D2212169
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 02-02-2027

About PENNY LANE ASSISTED CARE LLC

This page provides the complete NPI Profile along with additional information for Penny Lane Assisted Care Llc, a provider established in Fitchburg, Massachusetts operating as a Lodging. The healthcare provider is registered in the NPI registry with number 1396442240 assigned on February 2023. The practitioner's primary taxonomy code is 177F00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Jamshed Khan (Managing Partner)

NPI
1396442240
Provider Name
PENNY LANE ASSISTED CARE LLC
Entity Type
Organization
Location Address
222 SOUTH ST FITCHBURG, MA 01420
Location Phone
(978) 343-7400
Mailing Address
PO BOX 2063 FITCHBURG, MA 01420
Mailing Phone
(978) 343-7400
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-10-2023
Last Update Date
02-10-2023
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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

Lodging

Taxonomy Code
177F00000X
Type
Other Service Providers
Taxonomy Description
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.

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

JAMSHED KHAN

Authorized Official Title
MANAGING PARTNER
Authorized Official Phone
(617) 319-2914

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
22D2212169
Facility Type
Assisted Living Facility
Certificate Effective Date
February 03, 2025
Certificate Expiration Date
February 02, 2027
Laboratory Director
SARA J. MAZZAFERRO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Penny Lane Assisted Care Llc 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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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396442240, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
4
Doubled → 8
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 4 → 8 2 → 4 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 8 + 4 + 4 + 2 + 8 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1396442240.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

In Home Supportive Care
222 SOUTH ST
FITCHBURG, MA 01420
Nursing Facility/Intermediate Care Facility
222 SOUTH ST
FITCHBURG, MA 01420
Custodial Care Facility
222 SOUTH ST
FITCHBURG, MA 01420

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396442240, enumerated as an "organization" on February 10, 2023.

The provider is located at 222 SOUTH ST FITCHBURG, MA 01420 and the phone number is (978) 343-7400.

Lodging with taxonomy code 177F00000X.