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

Active since February 27, 2007CLIA 22D2135830 · Waiver
125 OAKLAND ST, WELLESLEY HILLS, MA 02481(781) 997-1124 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marillac Residence, Inc NPPES

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

MARILLAC RESIDENCE, INC (NPI 1972630317) is a healthcare organization registered as a voluntary or charitable in Wellesley Hills, Massachusetts and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through August 28, 2027 and lists Helen Shknevsky, Director Of Fiscal Services, as its authorized official.

NPPES Registry Identity

NPI1972630317
Entity TypeOrganization
Primary Taxonomy251V00000X
Legal Business NameMARILLAC RESIDENCE, INC
Location Address125 OAKLAND STWellesley Hills, MA 02481-5338
Mailing Address125 Oakland StWellesley Hills, MA 02481-5338
Organization SubpartNo
Authorized OfficialHelen ShknevskyDirector Of Fiscal Services · (781) 997-1124
Enumeration DateFebruary 27, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1972630317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyVoluntary or CharitableAgencies
Taxonomy Code251V00000X
125 OAKLAND ST, Wellesley Hills, MA 02481

Other Identifiers 1

Medicaid5508525MA

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 22D2135830

Marillac Residence · Wellesley Hills, MA
Active · expires Aug 28, 2027
CLIA Number22D2135830
Laboratory TypeLevel IV Rest Home
Certificate Effective DateAugust 29, 2025
Certificate Expiration DateAugust 28, 2027
Laboratory DirectorSusan B. Robitaille
Laboratory Phone(781) 997-1186
Laboratory LocationMarillac Residence125 Oakland Street, Wellesley Hills, MA 02481
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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

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 Marillac Residence, Inc's NPI number?

The NPI number for Marillac Residence, Inc is 1972630317. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Marillac Residence, Inc located?

Marillac Residence, Inc is located at 125 Oakland St, Wellesley Hills, MA 02481. The listed phone number is (781) 997-1124.

What is Marillac Residence, Inc's specialty?

The primary specialty registered for this NPI is Voluntary or Charitable with taxonomy code 251V00000X.

Does Marillac Residence, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2135830) is associated with this NPI, valid through August 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marillac Residence, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.