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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

APOSTOLIC CHRISTIAN COUNTRY VILLA
NPI 1023249752
Assisted Living Facility in Paulding, OH

Active since July 29, 2009CLIA 36D2198768 · Waiver
12651 ROAD 82, PAULDING, OH 45879(419) 399-2345(419) 399-2341 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Apostolic Christian Country Villa NPPES

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

APOSTOLIC CHRISTIAN COUNTRY VILLA (NPI 1023249752), doing business as Country Inn, is a healthcare organization registered as an assisted living facility in Paulding, Ohio and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through November 3, 2026 and lists James Richard Linder, Administrator, as its authorized official.

NPPES Registry Identity

NPI1023249752
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAPOSTOLIC CHRISTIAN COUNTRY VILLA
Location Address12651 ROAD 82Paulding, OH 45879-9545
Mailing Address12651 Road 82Paulding, OH 45879-9545 · (419) 399-2345 · Fax (419) 399-2341
Phone(419) 399-2345
Fax(419) 399-2341
Organization SubpartNo
Authorized OfficialJames Richard LinderAdministrator · (419) 399-2345
Enumeration DateJuly 29, 2009
Last NPPES UpdateJune 25, 2026
NPPES CertifiedJune 25, 2026
✔ NPI 1023249752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in OH · 2398R
Definition
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.
12651 ROAD 82, Paulding, OH 45879
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Other Names 2

Doing Business AsCountry Inn
Doing Business AsCountry Inn Enhanced Living Center

Other Identifiers 1

Medicaid2961086OH

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 36D2198768

Apostolic Christian Country Villa · Paulding, OH
Active · expires Nov 3, 2026
CLIA Number36D2198768
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorDavid Maletich
Laboratory Phone(419) 399-2345
Laboratory LocationApostolic Christian Country Villa12651 Road 82, Paulding, OH 45879
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Apostolic Christian Country Villa's NPI number?

The NPI number for Apostolic Christian Country Villa is 1023249752. It was assigned to this organization in the NPPES registry on July 29, 2009. The provider is doing business as Country Inn and Country Inn Enhanced Living Center.

Where is Apostolic Christian Country Villa located?

Apostolic Christian Country Villa is located at 12651 Road 82, Paulding, OH 45879. The listed phone number is (419) 399-2345.

What is Apostolic Christian Country Villa's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Apostolic Christian Country Villa hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2198768) is associated with this NPI, valid through November 3, 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 Apostolic Christian Country Villa was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.