SODC
NPI 1124180658
Intermediate Care Facility, Intellectual Disabilities in Batavia, OH

Active since December 14, 2006CLIA 36D0956037 · Waiver
4399 E BAUMAN LN, BATAVIA, OH 45103(513) 732-9200(513) 735-8232 Get Directions Write a Review

NPPES record last updated: August 30, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sodc NPPES

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

SODC (NPI 1124180658) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Batavia, Ohio and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through January 18, 2027 and lists James C. Krumer, Superintendent, as its authorized official.

NPPES Registry Identity

NPI1124180658
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSOUTHWEST OHIO DEVELOPMENTAL CENTER
Location Address4399 E BAUMAN LNBatavia, OH 45103-1685
Mailing Address4399 E Bauman LnBatavia, OH 45103-1685 · (513) 732-9200 · Fax (513) 735-8232
Fax(513) 735-8232
Organization SubpartNo
Authorized OfficialJames C. KrumerSuperintendent · (513) 732-9200
Enumeration DateDecember 14, 2006
Last NPPES UpdateAugust 30, 2010
NPI 1124180658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License Licensed in OH · 1310875
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
4399 E BAUMAN LN, Batavia, OH 45103

Other Names 1

Other NameSodc

Other Identifiers 3

Medicaid2423694OH
Medicare PIN9338743OH
Other1310875OH · Mrdd License Ohio

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 36D0956037

Southwest Ohio Developmental Center · Batavia, OH
Active · expires Jan 18, 2027
CLIA Number36D0956037
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJanuary 19, 2025
Certificate Expiration DateJanuary 18, 2027
Laboratory DirectorRukhsana Alam
Laboratory Phone(513) 732-9200
Laboratory LocationSouthwest Ohio Developmental Center4399 East Bauman Lane, Batavia, OH 45103
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 Southwest Ohio Developmental Center's NPI number?

The NPI number for Southwest Ohio Developmental Center is 1124180658. It was assigned to this organization in the NPPES registry on December 14, 2006. The provider is also known as Sodc.

Where is Southwest Ohio Developmental Center located?

Southwest Ohio Developmental Center is located at 4399 E Bauman Ln, Batavia, OH 45103. The listed phone number is (513) 732-9200.

What is Southwest Ohio Developmental Center's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Southwest Ohio Developmental Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0956037) is associated with this NPI, valid through January 18, 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 Southwest Ohio Developmental Center was last updated on August 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.