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IVY HILL ASSISTED CARE LLC
NPI 1891317723
Custodial Care Facility in Haverhill, MA

Active since May 14, 2020CLIA 22D2278719 · Waiver
337 MAIN ST, HAVERHILL, MA 01830(978) 374-8861 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivy Hill Assisted Care Llc NPPES

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

IVY HILL ASSISTED CARE LLC (NPI 1891317723) is a healthcare organization registered as a custodial care facility in Haverhill, Massachusetts and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through March 22, 2027 and lists Irshad Sideeka, Manager/member, as its authorized official.

NPPES Registry Identity

NPI1891317723
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameIVY HILL ASSISTED CARE LLC
Location Address337 MAIN STHaverhill, MA 01830-4054
Mailing Address683 Boylston StBrookline, MA 02445-5742 · (617) 751-0444
Phone(978) 374-8861
Organization SubpartNo
Authorized OfficialIrshad SideekaManager/member · (617) 751-0444
Enumeration DateMay 14, 2020
NPPES CertifiedMay 14, 2020
✔ NPI 1891317723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
337 MAIN ST, Haverhill, MA 01830
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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 22D2278719

Ivy Hill Assisted Care · Haverhill, MA
Active · expires Mar 22, 2027
CLIA Number22D2278719
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 23, 2025
Certificate Expiration DateMarch 22, 2027
Laboratory DirectorMs. Kim Cooper
Laboratory Phone(978) 374-8861
Laboratory LocationIvy Hill Assisted Care337 Main St, Haverhill, MA 01830
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

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

1976 STEVENS-BENNET HOME INC
Custodial Care Facility
337 MAIN ST
HAVERHILL, MA 01830
Essex County (978) 374-8861

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 Ivy Hill Assisted Care LLC's NPI number?

The NPI number for Ivy Hill Assisted Care LLC is 1891317723. It was assigned to this organization in the NPPES registry on May 14, 2020.

Where is Ivy Hill Assisted Care LLC located?

Ivy Hill Assisted Care LLC is located at 337 Main St, Haverhill, MA 01830. The listed phone number is (978) 374-8861.

What is Ivy Hill Assisted Care LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

Does Ivy Hill Assisted Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2278719) is associated with this NPI, valid through March 22, 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 Ivy Hill Assisted Care LLC was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.