WOOD LANE RESIDENTIAL SERVICES
NPI 1144841438
Intermediate Care Facility, Intellectual Disabilities in Portage, OH

Active since April 28, 2020
355 W MAIN ST., PORTAGE, OH 43451(419) 686-6071 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wood Lane Residential Services NPPES

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

WOOD LANE RESIDENTIAL SERVICES (NPI 1144841438) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Portage, Ohio and active in the NPI registry since April 2020. The organization lists Jessica Blakely, Ceo, as its authorized official.

NPPES Registry Identity

NPI1144841438
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameWOOD LANE RESIDENTIAL SERVICES
Location Address355 W MAIN ST.Portage, OH 43451-9802
Mailing Address545 Pearl StBowling Green, OH 43402-2784 · (419) 353-9577
Organization SubpartNo
Authorized OfficialJessica BlakelyCeo · (419) 353-9577
Enumeration DateApril 28, 2020
NPPES CertifiedApril 28, 2020
NPI 1144841438 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
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
355 W MAIN ST., Portage, OH 43451

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 1144841438. 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 355 W Main St., Portage, OH 43451. The listed phone number is (419) 686-6071.

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.

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.