RIVER VALLEY REST HOME LLC
NPI 1952147027
Custodial Care Facility - Adult Care Home in Florence, MA

Active since July 08, 2024CLIA 22D2203203 · Waiver
159 PINE ST, FLORENCE, MA 01062(617) 285-9966 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About River Valley Rest Home Llc NPPES

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

RIVER VALLEY REST HOME LLC (NPI 1952147027) is a healthcare organization registered as an adult care home in Florence, Massachusetts and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Sadaf Tajuddin, Administrator, as its authorized official.

NPPES Registry Identity

NPI1952147027
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameRIVER VALLEY REST HOME LLC
Location Address159 PINE STFlorence, MA 01062-1250
Mailing Address370 Clinton RdBrookline, MA 02445-4104 · (617) 285-9966
Organization SubpartNo
Authorized OfficialSadaf TajuddinAdministrator · (617) 285-9966
Enumeration DateJuly 8, 2024
NPPES CertifiedJuly 8, 2024
NPI 1952147027 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
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.
159 PINE ST, Florence, MA 01062

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 22D2203203

River Valley Rest Home · Florence, MA
Active · expires Dec 2, 2026
CLIA Number22D2203203
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorMr. Durai Rajasekar
Laboratory Phone(508) 981-1331
Laboratory LocationRiver Valley Rest Home159 Pine St, Florence, MA 01062
CLIA data matches this NPI record on: Address Name
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 River Valley Rest Home LLC's NPI number?

The NPI number for River Valley Rest Home LLC is 1952147027. It was assigned to this organization in the NPPES registry on July 8, 2024.

Where is River Valley Rest Home LLC located?

River Valley Rest Home LLC is located at 159 Pine St, Florence, MA 01062. The listed phone number is (617) 285-9966.

What is River Valley Rest Home LLC's specialty?

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

Does River Valley Rest Home LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2203203) is associated with this NPI, valid through December 2, 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 River Valley Rest Home LLC was last updated on July 8, 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.