EVANS PARK AT NEWTON CORNER
NPI 1629251475
Assisted Living Facility in Newton, MA

Active since December 14, 2007CLIA Certified · 4 labs
430 CENTRE ST, NEWTON, MA 02458(617) 965-9400 Get Directions Write a Review

NPPES record last updated: July 20, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility
  • CLIA Number: 22D2204135
  • CLIA Cert. Type: School/Student Health Service
  • CLIA Exp. Date: 12-07-2026

About EVANS PARK AT NEWTON CORNER

This page provides the complete NPI Profile along with additional information for Evans Park At Newton Corner, a provider established in Newton, Massachusetts operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1629251475 assigned on December 2007. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Evans Park At Newton Corner. The authorized official of this NPI record is Gayle Crenshaw (Senior Paralegal)

NPI
1629251475 Verify this NPI
Provider Legal Name
B-X NEWTON LLC
Other Organization Name
EVANS PARK AT NEWTON CORNER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
430 CENTRE ST NEWTON, MA 02458
Location Phone
(617) 965-9400
Mailing Address
40 WILLIAM ST 350 WELLESLEY, MA 02481
Mailing Phone
(781) 489-7100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-14-2007
Last Update Date
07-20-2012
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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 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

GAYLE CRENSHAW

Authorized Official Title
SENIOR PARALEGAL
Authorized Official Phone
(781) 489-7563

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
22D2204135
Facility Type
School/Student Health Service
Certificate Effective Date
December 08, 2024
Certificate Expiration Date
December 07, 2026
Laboratory Director
MS. RUTH HOSHINO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Evans Park At Newton Corner 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 EVANS PARK AT NEWTON CORNER

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Assisted Living Facility
430 CENTRE ST
NEWTON, MA 02458
Assisted Living Facility
430 CENTRE ST
NEWTON, MA 02458
Assisted Living Facility
430 CENTRE ST
NEWTON, MA 02458
Assisted Living Facility
430 CENTRE ST
NEWTON, MA 02458

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629251475, enumerated as an "organization" on December 14, 2007.

The provider is located at 430 CENTRE ST NEWTON, MA 02458 and the phone number is (617) 965-9400.

Assisted Living Facility with taxonomy code 310400000X.