BRIGHTVIEW WAKEFIELD
NPI 1548785215
Assisted Living Facility in Wakefield, MA

NPI Status: Active since August 03, 2017

Contact Information

21 CRESCENT STREET
WAKEFIELD, MA
ZIP 01880
Phone: (781) 667-0064

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 22D2143882
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 02-06-2026

About BRIGHTVIEW WAKEFIELD

This page provides the complete NPI Profile along with additional information for Brightview Wakefield, a provider established in Wakefield, Massachusetts operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1548785215 assigned on August 2017. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Brightview Wakefield. The authorized official of this NPI record is David Greydanus (Authorized Signator For Brightview)

NPI
1548785215
Provider Legal Name
BRIGHTVIEW WAKEFIELD, LLC
Other Organization Name
BRIGHTVIEW WAKEFIELD
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
21 CRESCENT STREET WAKEFIELD, MA 01880
Location Phone
(781) 667-0064
Mailing Address
21 CRESCENT STREET WAKEFIELD, MA 01880
Mailing Phone
(781) 486-4422
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-03-2017
Last Update Date
06-12-2019
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1311500000XNursing & Custodial Care Facilities

Alzheimer Center (Dementia Center)

 

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

DAVID GREYDANUS

Authorized Official Title
AUTHORIZED SIGNATOR FOR BRIGHTVIEW
Authorized Official Phone
(410) 962-0595

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
22D2143882
Facility Type
Assisted Living Facility
Certificate Effective Date
February 07, 2024
Certificate Expiration Date
February 06, 2026
Laboratory Director
MICHAEL REED
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Brightview Wakefield 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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1548785215
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25881481022
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 4 + 8 + 1 + 0 + 2 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1548785215 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548785215, enumerated in the NPI registry as an "organization" on August 03, 2017

The provider is located at 21 Crescent Street Wakefield, Ma 01880 and the phone number is (781) 667-0064

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

The provider's CLIA number is 22D2143882 for a "assisted living facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on August 03, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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