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ASHTABULA COUNTY COMMUNITY ACTION AGENCY
NPI 1033328422
Clinic/Center - Health Service in Ashtabula, OH

Active since May 22, 2007CLIA 36D0333663 · Waiver
4200 STATE RD, ASHTABULA, OH 44004(440) 998-7515(440) 998-0973 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 8, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Ashtabula County Community Action Agency NPPES

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

ASHTABULA COUNTY COMMUNITY ACTION AGENCY (NPI 1033328422) is a healthcare organization registered as a health service in Ashtabula, Ohio and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Diana Brook, Health & Nutrition Service Director, as its authorized official.

NPPES Registry Identity

NPI1033328422
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameASHTABULA COUNTY COMMUNITY ACTION AGENCY
Location Address4200 STATE RDAshtabula, OH 44004-6017
Mailing Address4200 State RdAshtabula, OH 44004-6017 · (440) 998-7515 · Fax (440) 998-0973
Phone(440) 998-7515
Fax(440) 998-0973
Organization SubpartNo
Authorized OfficialDiana BrookHealth & Nutrition Service Director · (440) 998-7515
Enumeration DateMay 22, 2007
Last NPPES UpdateJune 8, 20212 updates tracked since enumeration
NPPES CertifiedJune 8, 2021
✔ NPI 1033328422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedClinic/CenterTaxonomy 261Q00000X
4200 STATE RD, Ashtabula, OH 44004
Open in Google Maps ↗

Other Identifiers 1

Medicaid0412486OH

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 36D0333663

Ashtabula Cty Community Action Agency · Ashtabula, OH
Active · expires Aug 31, 2026
CLIA Number36D0333663
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMs. Ilana Litwak
Laboratory Phone(216) 998-7515
Laboratory LocationAshtabula Cty Community Action Agency4200 State Road, Ashtabula, OH 44004
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

KIMBERLY ZEENDER CHRISTY RD, LD, CLC
Dietitian, Registered
4200 STATE RD
ASHTABULA, OH 44004
Ashtabula County (440) 998-7515
MS. LINDSAY FUENTES
Occupational Therapy Assistant
4200 STATE RD
ASHTABULA, OH 44004
Ashtabula County (440) 576-9023
MRS. MARJORIE ANN TOIVOLA LSW
Social Worker
4200 STATE RD
ASHTABULA, OH 44004
Ashtabula County (440) 998-0303
SHANNON DELAAT
Occupational Therapy Assistant
4200 STATE RD
ASHTABULA, OH 44004
Ashtabula County (440) 576-9023
SHAUNNA CHIACCHIERO
Psychologist (School)
4200 STATE RD
ASHTABULA, OH 44004
Ashtabula County (440) 576-9023
LAURIE ORLANDO
Social Worker (School)
4200 STATE RD, BUILDING BRIDGES SCHOOL
ASHTABULA, OH 44004
Ashtabula County (440) 998-0303
KATRINA KOVACH
Occupational Therapy Assistant
4200 STATE RD
ASHTABULA, OH 44004
Ashtabula County (440) 576-9023
JENNA LOWER
Occupational Therapy Assistant
4200 STATE RD
ASHTABULA, OH 44004
Ashtabula County (440) 576-9023

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 Ashtabula County Community Action Agency's NPI number?

The NPI number for Ashtabula County Community Action Agency is 1033328422. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Ashtabula County Community Action Agency located?

Ashtabula County Community Action Agency is located at 4200 State Rd, Ashtabula, OH 44004. The listed phone number is (440) 998-7515.

What is Ashtabula County Community Action Agency's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Ashtabula County Community Action Agency hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0333663) is associated with this NPI, valid through August 31, 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 Ashtabula County Community Action Agency was last updated on June 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.