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BEAVEN KELLY HOME
NPI 1790776698
Custodial Care Facility - Adult Care Home in Holyoke, MA

Active since October 31, 2005CLIA 22D2202850 · Waiver
25 BRIGHTSIDE DR, HOLYOKE, MA 01040(413) 532-4892(413) 535-2355 Get Directions Write a Review

NPPES record last updated: December 30, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beaven Kelly Home NPPES

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

BEAVEN KELLY HOME (NPI 1790776698) is a healthcare organization registered as an adult care home in Holyoke, Massachusetts and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through November 30, 2026 and lists Christopher John Mclaughlin, Coo, Mercy Continuing Care Network, as its authorized official.

NPPES Registry Identity

NPI1790776698
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSISTERS OF PROVIDENCE CARE CTRS INC
Location Address25 BRIGHTSIDE DRHolyoke, MA 01040-4033
Mailing Address1221 Main St, Catherine Horan Building, Suite 105Holyoke, MA 01040-5394 · (413) 539-2618 · Fax (413) 539-2859
Phone(413) 532-4892
Fax(413) 535-2355
Organization SubpartNo
Authorized OfficialChristopher John MclaughlinCoo, Mercy Continuing Care Network · (413) 539-2917
Enumeration DateOctober 31, 2005
Last NPPES UpdateDecember 30, 2011
✔ NPI 1790776698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in MA · 879
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
25 BRIGHTSIDE DR, Holyoke, MA 01040
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Other Names 1

Doing Business AsBeaven Kelly Home

Other Identifiers 1

Medicaid5508304MA

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 22D2202850

Beaven Kelly Rest Home · Holyoke, MA
Active · expires Nov 30, 2026
CLIA Number22D2202850
Laboratory TypeIndpendent Living Facilit
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorLori Hannah
Laboratory Phone(413) 532-4892
Laboratory LocationBeaven Kelly Rest Home25 Brightside Dr, Holyoke, MA 01040
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

TRINITY CONTINUING CARE SERVICE
Custodial Care Facility (Adult Care Home)
25 BRIGHTSIDE DR
HOLYOKE, MA 01040
Hampden County (413) 539-2618

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 Sisters Of Providence Care Ctrs Inc's NPI number?

The NPI number for Sisters Of Providence Care Ctrs Inc is 1790776698. It was assigned to this organization in the NPPES registry on October 31, 2005. The provider is doing business as Beaven Kelly Home.

Where is Sisters Of Providence Care Ctrs Inc located?

Sisters Of Providence Care Ctrs Inc is located at 25 Brightside Dr, Holyoke, MA 01040. The listed phone number is (413) 532-4892.

What is Sisters Of Providence Care Ctrs Inc's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Does Sisters Of Providence Care Ctrs Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2202850) is associated with this NPI, valid through November 30, 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 Sisters Of Providence Care Ctrs Inc was last updated on December 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.