ST. JOHN'S VILLA
NPI 1174691927
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Carrollton, OH

NPI Status: Active since December 01, 2006

Contact Information

701 CREST ST NW
CARROLLTON, OH
ZIP 44615
Phone: (330) 627-9789
Fax: (330) 627-4826

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  • Organization
  • Residential Treatment Facility, Intellec...
  • CLIA Number: 36D2243311
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 11-16-2027

About ST. JOHN'S VILLA

This page provides the complete NPI Profile along with additional information for St. John's Villa, a provider established in Carrollton, Ohio operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1174691927 assigned on December 2006. The practitioner's primary taxonomy code is 320600000X with license number 1010128 (OH). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is David L. Lyon (President)

NPI
1174691927
Provider Name
ST. JOHN'S VILLA
Entity Type
Organization
Location Address
701 CREST ST NW CARROLLTON, OH 44615
Location Phone
(330) 627-9789
Location Fax
(330) 627-4826
Mailing Address
701 CREST ST NW PO BOX 457 CARROLLTON, OH 44615
Mailing Phone
(330) 627-9789
Mailing Fax
(330) 627-4826
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-01-2006
Last Update Date
06-16-2008
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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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
1010128
License State
OH
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DAVID L. LYON

Authorized Official Title
PRESIDENT
Authorized Official Phone
(330) 627-9789

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
M1000179OTHER (01)OHMRDD PROVIDER

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
36D2243311
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
November 17, 2025
Certificate Expiration Date
November 16, 2027
Laboratory Director
VALERIE HUFF
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St. John's Villa 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1174691927, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 4 + 4 + 1 + 2 + 9 + 2 + 9 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1174691927.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174691927, enumerated as an "organization" on December 01, 2006.

The provider is located at 701 CREST ST NW CARROLLTON, OH 44615 and the phone number is (330) 627-9789.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.