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

Active since February 10, 2023CLIA 22D2212169 · Waiver
222 SOUTH ST, FITCHBURG, MA 01420(978) 343-7400 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Penny Lane Assisted Care Llc NPPES

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

PENNY LANE ASSISTED CARE LLC (NPI 1396442240) is a healthcare organization registered as a lodging in Fitchburg, Massachusetts and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Jamshed Khan, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1396442240
Entity TypeOrganization
Primary Taxonomy177F00000X
Legal Business NamePENNY LANE ASSISTED CARE LLC
Location Address222 SOUTH STFitchburg, MA 01420-7939
Mailing AddressPo Box 2063Fitchburg, MA 01420-0012 · (978) 343-7400
Phone(978) 343-7400
Organization SubpartNo
Authorized OfficialJamshed KhanManaging Partner · (617) 319-2914
Enumeration DateFebruary 10, 2023
NPPES CertifiedFebruary 10, 2023
✔ NPI 1396442240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLodgingOther Service Providers
Taxonomy Code177F00000X
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
222 SOUTH ST, Fitchburg, MA 01420
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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 22D2212169

Penny Lane Assisted Care LLC Resthome · Fitchburg, MA
Active · expires Feb 2, 2027
CLIA Number22D2212169
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorSara J. Mazzaferro
Laboratory Phone(978) 343-7400
Laboratory LocationPenny Lane Assisted Care LLC Resthome222 South Street, Fitchburg, MA 01420
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENMAR CORP
Nursing Facility/Intermediate Care Facility
222 SOUTH ST
FITCHBURG, MA 01420
Worcester County (978) 343-7400
JAMES MANOR REST HOME
Custodial Care Facility
222 SOUTH ST
FITCHBURG, MA 01420
Worcester County (978) 343-7400
OPEN ARMS HEALTHCARE
In Home Supportive Care
222 SOUTH ST
FITCHBURG, MA 01420
Worcester County (978) 790-5119

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 Penny Lane Assisted Care LLC's NPI number?

The NPI number for Penny Lane Assisted Care LLC is 1396442240. It was assigned to this organization in the NPPES registry on February 10, 2023.

Where is Penny Lane Assisted Care LLC located?

Penny Lane Assisted Care LLC is located at 222 South St, Fitchburg, MA 01420. The listed phone number is (978) 343-7400.

What is Penny Lane Assisted Care LLC's specialty?

The primary specialty registered for this NPI is Lodging with taxonomy code 177F00000X.

Does Penny Lane Assisted Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2212169) is associated with this NPI, valid through February 2, 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 Penny Lane Assisted Care LLC was last updated on February 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.