WOOD LANE RESIDENTIAL SERVICES
NPI 1083235378
Intermediate Care Facility, Intellectual Disabilities in Bowling Green, OH
NPI Status: Active since April 28, 2020
Contact Information
531 CONNEAUT AVE
BOWLING GREEN, OH
ZIP 43402
Phone: (419) 353-2307
- Organization
- Intermediate Care Facility, Intellectual...
- CLIA Number: 36D2099364
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 07-26-2027
About WOOD LANE RESIDENTIAL SERVICES
This page provides the complete NPI Profile along with additional information for Wood Lane Residential Services, a provider established in Bowling Green, Ohio operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1083235378 assigned on April 2020. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Jessica Blakely (Ceo)
- NPI
- 1083235378
- Provider Name
- WOOD LANE RESIDENTIAL SERVICES
- Entity Type
- Organization
- Location Address
- 531 CONNEAUT AVE BOWLING GREEN, OH 43402
- Location Phone
- (419) 353-2307
- Mailing Address
- 545 PEARL ST BOWLING GREEN, OH 43402
- Mailing Phone
- (419) 353-9577
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-28-2020
- Last Update Date
- 04-28-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Intermediate Care Facility, Intellectual Disabilities
- Taxonomy Code
- 315P00000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- An intermediate care facility providing services for individuals with intellectual disabilities.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D2099364
- Facility Type
- Home Health Agency
- Certificate Effective Date
- July 27, 2025
- Certificate Expiration Date
- July 26, 2027
- Laboratory Director
- JESSICA C. BLAKELY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wood Lane Residential Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for WOOD LANE RESIDENTIAL SERVICES
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1083235378, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083235378, enumerated as an "organization" on April 28, 2020.
The provider is located at 531 CONNEAUT AVE BOWLING GREEN, OH 43402 and the phone number is (419) 353-2307.
Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.
