DAVENPORT MEMORIAL HOME
NPI 1891989000
Custodial Care Facility in Malden, MA

Active since August 30, 2007
70 SALEM ST, MALDEN, MA 02148(781) 324-0150(781) 324-3828 Get Directions Write a Review

NPPES record last updated: August 30, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Davenport Memorial Home NPPES

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

DAVENPORT MEMORIAL HOME (NPI 1891989000) is a healthcare organization registered as a custodial care facility in Malden, Massachusetts and active in the NPI registry since August 2007. The organization lists Beth E. Walsh, Director, as its authorized official.

NPPES Registry Identity

NPI1891989000
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameDAVENPORT MEMORIAL FOUNDATION
Location Address70 SALEM STMalden, MA 02148-5208
Mailing Address70 Salem StMalden, MA 02148-5208 · (781) 324-0150 · Fax (781) 324-3828
Fax(781) 324-3828
Organization SubpartNo
Authorized OfficialBeth E. WalshDirector · (781) 324-0150
Enumeration DateAugust 30, 2007
NPI 1891989000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
License Licensed in MA · 1132
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.
70 SALEM ST, Malden, MA 02148

Other Names 1

Other NameDavenport Memorial Home

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 22D2151658

Davenport Memorial Home · Malden, MA
Expired · Jul 23, 2026
CLIA Number22D2151658
Laboratory TypeLong Term Care Level IV
Certificate Effective DateJuly 24, 2024
Certificate Expiration DateJuly 23, 2026
Laboratory DirectorMs. Rachel E. Burke
Laboratory Phone(781) 324-0150
Laboratory LocationDavenport Memorial Home70 Salem Street, Malden, MA 02148
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Davenport Memorial Foundation's NPI number?

The NPI number for Davenport Memorial Foundation is 1891989000. It was assigned to this organization in the NPPES registry on August 30, 2007. The provider is also known as Davenport Memorial Home.

Where is Davenport Memorial Foundation located?

Davenport Memorial Foundation is located at 70 Salem St, Malden, MA 02148. The listed phone number is (781) 324-0150.

What is Davenport Memorial Foundation's specialty?

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

When was this NPI record last updated?

The NPPES record for Davenport Memorial Foundation was last updated on August 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.