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SILVER BIRCH OF MANSFIELD LLC
NPI 1104786425
Assisted Living Facility in Mansfield, OH

Active since November 18, 2025CLIA 36D2338294 · Waiver
300 CLINE AVENUE, MANSFIELD, OH 44907(419) 709-8400 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2026, Nov 18, 2025 (2 updates tracked since 2025).

About Silver Birch Of Mansfield Llc NPPES

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

SILVER BIRCH OF MANSFIELD LLC (NPI 1104786425) is a healthcare organization registered as an assisted living facility in Mansfield, Ohio and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through February 8, 2028 and lists Mark Joseph Laubacher, Vice Chairman, as its authorized official.

NPPES Registry Identity

NPI1104786425
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSILVER BIRCH OF MANSFIELD LLC
Location Address300 CLINE AVENUEMansfield, OH 44907
Mailing Address151 N Franklin St Ste 300Chicago, IL 60606-1937 · (312) 560-0837
Phone(419) 709-8400
Organization SubpartNo
Authorized OfficialMark Joseph LaubacherVice Chairman · (312) 560-0837
Enumeration DateNovember 18, 2025
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1104786425 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.
300 CLINE AVENUE, Mansfield, OH 44907
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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 36D2338294

Silver Birch Of Mansfield · Mansfield, OH
Active · expires Feb 8, 2028
CLIA Number36D2338294
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorLaura R. Kilgore
Laboratory Phone(419) 709-8400
Laboratory LocationSilver Birch Of Mansfield300 Cline Ave, Mansfield, OH 44907
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 Silver Birch Of Mansfield LLC's NPI number?

The NPI number for Silver Birch Of Mansfield LLC is 1104786425. It was assigned to this organization in the NPPES registry on November 18, 2025.

Where is Silver Birch Of Mansfield LLC located?

Silver Birch Of Mansfield LLC is located at 300 Cline Avenue, Mansfield, OH 44907. The listed phone number is (419) 709-8400.

What is Silver Birch Of Mansfield LLC's specialty?

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

Does Silver Birch Of Mansfield LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2338294) is associated with this NPI, valid through February 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Silver Birch Of Mansfield LLC was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.