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ASSISTED LIVING
NPI 1033957857
Assisted Living Facility in Bluffton, OH

Active since July 16, 2024CLIA 36D0663924 · Waiver
410 W ELM ST, BLUFFTON, OH 45817(419) 358-1015(419) 358-1919 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 2, 2024, Jul 16, 2024 (2 updates tracked since 2024).

About Assisted Living NPPES

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

ASSISTED LIVING (NPI 1033957857) is a healthcare organization registered as an assisted living facility in Bluffton, Ohio and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Lance Nickles, Administrator, as its authorized official.

NPPES Registry Identity

NPI1033957857
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMENNONITE MEMORIAL HOME COMMUNITIES OF OHIO
Location Address410 W ELM STBluffton, OH 45817-1122
Mailing Address410 W Elm StBluffton, OH 45817-1122 · (419) 358-1015 · Fax (419) 358-1919
Phone(419) 358-1015
Fax(419) 358-1919
Organization SubpartYes
Authorized OfficialLance NicklesAdministrator · (419) 358-1015
Enumeration DateJuly 16, 2024
Last NPPES UpdateAugust 2, 20242 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
✔ NPI 1033957857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.

410 W ELM ST, Bluffton, OH 45817
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Other Names 1

Other NameAssisted Living

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 36D0663924

Mennonite Memorial Home · Bluffton, OH
Active · expires Aug 31, 2026
CLIA Number36D0663924
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDebra A. Wilt
Laboratory Phone(419) 358-1015
Laboratory LocationMennonite Memorial Home410 West Elm Street, Bluffton, OH 45817
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

MEGAN SCHUTZ
Physical Therapist
410 W ELM ST
BLUFFTON, OH 45817
Allen County (419) 358-1015
UNA M LAY PT
Physical Therapist
410 W ELM ST
BLUFFTON, OH 45817
Allen County (419) 358-1015
MICHELLE HUTTON
Physical Therapy Assistant
410 W ELM ST
BLUFFTON, OH 45817
Allen County (419) 358-1015
MENNONITE MEMORIAL HOME
Home Health
410 W ELM ST
BLUFFTON, OH 45817
Allen County (419) 358-7803
MENNONITE MEMORIAL HOME
Skilled Nursing Facility
410 W ELM ST
BLUFFTON, OH 45817
Allen County (419) 358-1015
MRS. KAYLA GOLDING KAYLA
Occupational Therapist
410 W ELM ST
BLUFFTON, OH 45817
Allen County (419) 358-1015
MENNONITE MEMORIAL HOME
Skilled Nursing Facility
410 W ELM ST
BLUFFTON, OH 45817
Allen County (419) 358-1015

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 Mennonite Memorial Home Communities Of Ohio's NPI number?

The NPI number for Mennonite Memorial Home Communities Of Ohio is 1033957857. It was assigned to this organization in the NPPES registry on July 16, 2024. The provider is also known as Assisted Living.

Where is Mennonite Memorial Home Communities Of Ohio located?

Mennonite Memorial Home Communities Of Ohio is located at 410 W Elm St, Bluffton, OH 45817. The listed phone number is (419) 358-1015.

What is Mennonite Memorial Home Communities Of Ohio's specialty?

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

Does Mennonite Memorial Home Communities Of Ohio hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0663924) 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 Mennonite Memorial Home Communities Of Ohio was last updated on August 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.