WOOD LANE RESIDENTIAL SERVICES
NPI 1083235378
Intermediate Care Facility, Intellectual Disabilities in Bowling Green, OH
About Wood Lane Residential Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WOOD LANE RESIDENTIAL SERVICES (NPI 1083235378) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Bowling Green, Ohio and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through July 26, 2027 and lists Jessica Blakely, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 36D2099364
Wood Lane Residential Services Inc · Bowling Green, OHOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wood Lane Residential Services's NPI number?
The NPI number for Wood Lane Residential Services is 1083235378. It was assigned to this organization in the NPPES registry on April 28, 2020.
Where is Wood Lane Residential Services located?
Wood Lane Residential Services is located at 531 Conneaut Ave, Bowling Green, OH 43402. The listed phone number is (419) 353-2307.
What is Wood Lane Residential Services's specialty?
The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
Does Wood Lane Residential Services hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D2099364) is associated with this NPI, valid through July 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Wood Lane Residential Services was last updated on April 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Wood Lane Residential Services · NPI 1083235378
Intermediate Care Facility, Intellectual Disabilities organization in Bowling Green, Ohio. Organization record, active in the CMS NPPES registry since April 28, 2020.
## Identity
- **NPI:** 1083235378 (Entity type: Organization)
- **Enumerated:** April 28, 2020
- **Primary specialty:** Intermediate Care Facility, Intellectual Disabilities · taxonomy 315P00000X
- **Organization subpart:** No
- **Authorized official:** Jessica Blakely, CEO
## Practice location
- **Address:** 531 CONNEAUT AVE, Bowling Green, OH 43402-2237
- **Phone:** (419) 353-2307
## Record status
- **NPPES last updated:** April 28, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083235378) · Data from the CMS NPPES public registry.