Organization Active NPI

Residence at Valley Farm

  • Assisted Living Facility (Behavioral Disturbances)
  • Ashland, MA
National Provider Identifier
1134593858
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
RESIDENCE AT VALLEY FARM
Practice address
369 Pond St
Ashland, MA 01721-2327
Phone
(508) 532-3197
Fax
(508) 532-3199
NPI assigned
Nov 18, 2015
Organization subpart
Yes
Parent organization
LCB SENIOR LIVINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Saldana
Title
Business Office Director
Phone
(508) 532-3197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X MA Primary

Addresses

Primary practice location

369 Pond St
Ashland, MA 01721-2327

Mailing address

369 Pond St
Ashland, MA 01721-2327
Phone (508) 532-3197

Other names 1

  • LCB Senior Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2218791Residence at Valley Farm369 Pond St, Ashland, MA 01721Certificate of waiverMar 30, 2027

National Provider Directory

National Provider Directory
Part of
Residence at Valley Farm

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1134593858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 POND ST",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017212327",
            "telephone_number": "508-532-3197",
            "fax_number": "508-532-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 POND ST",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017212327",
            "telephone_number": "508-532-3197",
            "fax_number": "508-532-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESIDENCE AT VALLEY FARM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LCB SENIOR LIVING",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "SALDANA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "508-532-3197"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LCB Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.