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FRIENDS FOR LIFE RESIDENTIAL CARE, LLC
NPI 1154918571
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Maumee, OH

Active since December 31, 2020CLIA 36D2314719 · Waiver
1910 INDIAN WOOD CIR STE 100, MAUMEE, OH 43537(419) 908-9440(419) 573-1944 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2024, Dec 31, 2020 (2 updates tracked since 2020).

About Friends For Life Residential Care, Llc NPPES

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

FRIENDS FOR LIFE RESIDENTIAL CARE, LLC (NPI 1154918571) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Maumee, Ohio and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through November 25, 2026 and lists Stephanie Stuart, Partner, as its authorized official.

NPPES Registry Identity

NPI1154918571
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameFRIENDS FOR LIFE RESIDENTIAL CARE, LLC
Location Address1910 INDIAN WOOD CIR STE 100Maumee, OH 43537-4029
Mailing Address1910 Indian Wood Cir Ste 100Maumee, OH 43537-4029 · (419) 279-8986 · Fax (419) 573-1944
Phone(419) 908-9440
Fax(419) 573-1944
Organization SubpartNo
Authorized OfficialStephanie StuartPartner · (419) 908-9440
Enumeration DateDecember 31, 2020
Last NPPES UpdateNovember 19, 20242 updates tracked since enumeration
NPPES CertifiedNovember 19, 2024
✔ NPI 1154918571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1910 INDIAN WOOD CIR STE 100, Maumee, OH 43537
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Other Identifiers 1

Medicaid0198367OH

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 36D2314719

Friends For Life Residential Care, LLC · Maumee, OH
Active · expires Nov 25, 2026
CLIA Number36D2314719
Laboratory TypeHome Health Agency
Certificate Effective DateNovember 26, 2024
Certificate Expiration DateNovember 25, 2026
Laboratory DirectorAmanda M. Seabolt
Laboratory Phone(419) 279-8986
Laboratory LocationFriends For Life Residential Care, LLC1910 Indian Wood Circle, Ste 100, Maumee, OH 43537
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM RILEY HUPP JR. LISW
Social Worker (Clinical)
1910 INDIAN WOOD CIR STE 100
MAUMEE, OH 43537
Lucas County (419) 491-0420
GABRIELLE HAWKINS
Social Worker
1910 INDIAN WOOD CIR STE 100
MAUMEE, OH 43537
Lucas County (419) 491-0420
DOROTHY A. LOPEZ L.P.C.
Counselor (Mental Health)
1910 INDIAN WOOD CIR STE 100
MAUMEE, OH 43537
Lucas County (419) 491-0420

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 Friends For Life Residential Care, LLC's NPI number?

The NPI number for Friends For Life Residential Care, LLC is 1154918571. It was assigned to this organization in the NPPES registry on December 31, 2020.

Where is Friends For Life Residential Care, LLC located?

Friends For Life Residential Care, LLC is located at 1910 Indian Wood Cir Ste 100, Maumee, OH 43537. The listed phone number is (419) 908-9440.

What is Friends For Life Residential Care, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Does Friends For Life Residential Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2314719) is associated with this NPI, valid through November 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Friends For Life Residential Care, LLC was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.