EPIPHANY WELLNESS MASSACHUSETTS LLC
NPI 1679302517
Substance Abuse Rehabilitation Facility in Southborough, MA
About Epiphany Wellness Massachusetts Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EPIPHANY WELLNESS MASSACHUSETTS LLC (NPI 1679302517) is a healthcare organization registered as a substance abuse rehabilitation facility in Southborough, Massachusetts and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Patrick Denglegi, Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
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 22D2314081
Epiphany Wellness Massachusetts LLC · Southborough, MAFrequently 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 Epiphany Wellness Massachusetts LLC's NPI number?
The NPI number for Epiphany Wellness Massachusetts LLC is 1679302517. It was assigned to this organization in the NPPES registry on July 30, 2024.
Where is Epiphany Wellness Massachusetts LLC located?
Epiphany Wellness Massachusetts LLC is located at 257 Turnpike Rd Ste 200, Southborough, MA 01772. The listed phone number is (848) 221-0297.
What is Epiphany Wellness Massachusetts LLC's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Does Epiphany Wellness Massachusetts LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 22D2314081) is associated with this NPI, valid through November 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Epiphany Wellness Massachusetts LLC was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Epiphany Wellness Massachusetts Llc · NPI 1679302517
Substance Abuse Rehabilitation Facility organization in Southborough, Massachusetts. Organization record, active in the CMS NPPES registry since July 30, 2024.
## Identity
- **NPI:** 1679302517 (Entity type: Organization)
- **Enumerated:** July 30, 2024
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Organization subpart:** No
- **Authorized official:** Patrick Denglegi, VICE PRESIDENT
## Practice location
- **Address:** 257 TURNPIKE RD STE 200, Southborough, MA 01772-1791
- **Phone:** (848) 221-0297
## Record status
- **NPPES last updated:** July 30, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1679302517) · Data from the CMS NPPES public registry.