FOUNDATIONS FOR LIVING
NPI 1134388739
Community Based Residential Treatment Facility, Mental Illness in Mansfield, OH

NPI Status: Active since June 09, 2008

Contact Information

1451 LUCAS RD
MANSFIELD, OH
ZIP 44903
Phone: (419) 589-5511
Fax: (419) 589-4656

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Community Based Residential Treatment Fa...
CLIA Number: 36D2197475
CLIA Cert. Type: Other - RESIDENTIAL TREATMENT CTR
CLIA Exp. Date: 10-25-2026

About FOUNDATIONS FOR LIVING

This page provides the complete NPI Profile along with additional information for Foundations For Living, a provider established in Mansfield, Ohio operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1134388739 assigned on June 2008. The practitioner's primary taxonomy code is 320800000X with license number PN.065837 (OH). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Tom Brohm (Ceo)

NPI: 1134388739
Provider Name: FOUNDATIONS FOR LIVING
Entity Type: Organization
Location Address: 1451 LUCAS RD MANSFIELD, OH 44903
Location Phone: (419) 589-5511
Location Fax: (419) 589-4656
Mailing Address: 1451 LUCAS RD MANSFIELD, OH 44903
Mailing Phone: (419) 589-5511
Mailing Fax: (419) 589-4656
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 06-09-2008
Last Update Date: 06-09-2008
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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: Community Based Residential Treatment Facility, Mental Illness
Taxonomy Code: 320800000X
Type: Residential Treatment Facilities
License No.: PN.065837
License State: OH
Taxonomy Description: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MR. TOM BROHM
Authorized Official Title: CEO
Authorized Official Phone: (419) 589-5511

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: 36D2197475
Facility Type: Other - RESIDENTIAL TREATMENT CTR
Certificate Effective Date: October 26, 2024
Certificate Expiration Date: October 25, 2026
Laboratory Director: GRANT GALBRAITH
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Foundations For Living 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.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	3	4	3	8	8	7	3	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	6	4	6	8	16	7	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 6 + 8 + 1 + 6 + 7 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 9									9

The NPI number 1134388739 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

KEYSTONE RICHLAND CENTER, LLC

Psychiatric Residential Treatment Facility

1451 LUCAS RD
MANSFIELD, OH
ZIP 44903

About FOUNDATIONS FOR LIVING

Location Map

Specialty - Primary Taxonomy

Community Based Residential Treatment Facility, Mental Illness

Authorized Official

MR. TOM BROHM

CLIA Information

Reviews for FOUNDATIONS FOR LIVING

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

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