MARILLAC RESIDENCE, INC
NPI 1972630317
Voluntary or Charitable in Wellesley Hills, MA

NPI Status: Active since February 27, 2007

Contact Information

125 OAKLAND ST
WELLESLEY HILLS, MA
ZIP 02481
Phone: (781) 997-1124

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  • Organization
  • Voluntary or Charitable
  • CLIA Number: 22D2135830
  • CLIA Cert. Type: Other - LEVEL IV REST HOME
  • CLIA Exp. Date: 08-28-2027

About MARILLAC RESIDENCE, INC

This page provides the complete NPI Profile along with additional information for Marillac Residence, Inc, a provider established in Wellesley Hills, Massachusetts operating as a Voluntary Or Charitable. The healthcare provider is registered in the NPI registry with number 1972630317 assigned on February 2007. The practitioner's primary taxonomy code is 251V00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Helen Shknevsky (Director Of Fiscal Services)

NPI
1972630317
Provider Name
MARILLAC RESIDENCE, INC
Entity Type
Organization
Location Address
125 OAKLAND ST WELLESLEY HILLS, MA 02481
Location Phone
(781) 997-1124
Mailing Address
125 OAKLAND ST WELLESLEY HILLS, MA 02481
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-27-2007
Last Update Date
08-22-2020
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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

Voluntary or Charitable

Taxonomy Code
251V00000X
Type
Agencies

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

HELEN SHKNEVSKY

Authorized Official Title
DIRECTOR OF FISCAL SERVICES
Authorized Official Phone
(781) 997-1124

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5508525MEDICAID (05)MA 

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
22D2135830
Facility Type
Other - LEVEL IV REST HOME
Certificate Effective Date
August 29, 2025
Certificate Expiration Date
August 28, 2027
Laboratory Director
SUSAN B. ROBITAILLE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Marillac Residence, Inc 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.

Reviews for MARILLAC RESIDENCE, INC

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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 1972630317, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

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
9
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
7
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 7 → 14 → 5 6 → 12 → 3 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 1 + 2 + 3 + 0 + 3 + 2 + 24 = 53

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

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1972630317.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Skilled Nursing Facility
125 OAKLAND ST
WELLESLEY HILLS, MA 02481
Social Worker (Clinical)
125 OAKLAND ST
WELLESLEY HILLS, MA 02481

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972630317, enumerated as an "organization" on February 27, 2007.

The provider is located at 125 OAKLAND ST WELLESLEY HILLS, MA 02481 and the phone number is (781) 997-1124.

Voluntary or Charitable with taxonomy code 251V00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.