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CHARLTON MANOR REST HOME INC
NPI 1962528968
Custodial Care Facility in Charlton, MA

Active since March 21, 2007CLIA 22D2265930 · Waiver
12 TOWN FARM RD, CHARLTON, MA 01507(508) 248-5136 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charlton Manor Rest Home Inc NPPES

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

CHARLTON MANOR REST HOME INC (NPI 1962528968) is a healthcare organization registered as a custodial care facility in Charlton, Massachusetts and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through August 2, 2026 and lists Carolyn Iandoli, Administrator, as its authorized official.

NPPES Registry Identity

NPI1962528968
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameCHARLTON MANOR REST HOME INC
Location Address12 TOWN FARM RDCharlton, MA 01507-1556
Mailing AddressPo Box 216Rochdale, MA 01542-0216 · (508) 248-5136
Phone(508) 248-5136
Organization SubpartNo
Authorized OfficialCarolyn IandoliAdministrator · (508) 248-5136
Enumeration DateMarch 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1962528968 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 · 1059
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.

12 TOWN FARM RD, Charlton, MA 01507
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Other Identifiers 1

Other5507618MA · Provider Number

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 22D2265930

Charlton Manor Rest Home · Charlton, MA
Active · expires Aug 2, 2026
CLIA Number22D2265930
Laboratory TypeRest Home
Certificate Effective DateAugust 3, 2024
Certificate Expiration DateAugust 2, 2026
Laboratory DirectorDebra Fitts
Laboratory Phone(508) 248-5136
Laboratory LocationCharlton Manor Rest Home12 Town Farm Rd, Charlton, MA 01507
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.

CHARLTON MANOR REST HOME LLC
Nursing Facility/Intermediate Care Facility
12 TOWN FARM RD
CHARLTON, MA 01507
Worcester County (508) 248-5137

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 Charlton Manor Rest Home Inc's NPI number?

The NPI number for Charlton Manor Rest Home Inc is 1962528968. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Charlton Manor Rest Home Inc located?

Charlton Manor Rest Home Inc is located at 12 Town Farm Rd, Charlton, MA 01507. The listed phone number is (508) 248-5136.

What is Charlton Manor Rest Home Inc's specialty?

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

Does Charlton Manor Rest Home Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2265930) is associated with this NPI, valid through August 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 Charlton Manor Rest Home Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.