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

NPI Status: Active since August 30, 2007

Contact Information

70 SALEM ST
MALDEN, MA
ZIP 02148
Phone: (781) 324-0150
Fax: (781) 324-3828

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  • Organization
  • Custodial Care Facility
  • CLIA Number: 22D2151658
  • CLIA Cert. Type: Other - LONG TERM CARE LEVEL IV
  • CLIA Exp. Date: 07-23-2026

About DAVENPORT MEMORIAL HOME

This page provides the complete NPI Profile along with additional information for Davenport Memorial Home, a provider established in Malden, Massachusetts operating as a Custodial Care Facility. The healthcare provider is registered in the NPI registry with number 1891989000 assigned on August 2007. The practitioner's primary taxonomy code is 311Z00000X with license number 1132 (MA). The provider is registered as an organization and their NPI record was last updated 19 years ago. The provider's other name is Davenport Memorial Home. The authorized official of this NPI record is Ms. Beth E. Walsh (Director)

NPI
1891989000
Provider Legal Name
DAVENPORT MEMORIAL FOUNDATION
Other Organization Name
DAVENPORT MEMORIAL HOME
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
70 SALEM ST MALDEN, MA 02148
Location Phone
(781) 324-0150
Location Fax
(781) 324-3828
Mailing Address
70 SALEM ST MALDEN, MA 02148
Mailing Phone
(781) 324-0150
Mailing Fax
(781) 324-3828
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-30-2007
Last Update Date
08-30-2007
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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

Custodial Care Facility

Taxonomy Code
311Z00000X
Type
Nursing & Custodial Care Facilities
License No.
1132
License State
MA
Taxonomy Description
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.

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

MS. BETH E. WALSH

Authorized Official Title
DIRECTOR
Authorized Official Phone
(781) 324-0150

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
22D2151658
Facility Type
Other - LONG TERM CARE LEVEL IV
Certificate Effective Date
July 24, 2024
Certificate Expiration Date
July 23, 2026
Laboratory Director
MS. RACHEL E. BURKE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Davenport Memorial Home 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1891989000, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
1
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 9 → 18 → 9 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 8 + 1 + 1 + 8 + 8 + 1 + 8 + 0 + 0 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1891989000.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1891989000, enumerated as an "organization" on August 30, 2007.

The provider is located at 70 SALEM ST MALDEN, MA 02148 and the phone number is (781) 324-0150.

Custodial Care Facility with taxonomy code 311Z00000X.