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

Active since December 01, 2006CLIA 36D2243311 · Waiver
701 CREST ST NW, CARROLLTON, OH 44615(330) 627-9789(330) 627-4826 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About St. John's Villa NPPES

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

ST. JOHN'S VILLA (NPI 1174691927) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Carrollton, Ohio and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 16, 2027 and lists David L. Lyon, President, as its authorized official.

NPPES Registry Identity

NPI1174691927
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameST. JOHN'S VILLA
Location Address701 CREST ST NWCarrollton, OH 44615-8425
Mailing Address701 Crest St Nw, Po Box 457Carrollton, OH 44615-8425 · (330) 627-9789 · Fax (330) 627-4826
Phone(330) 627-9789
Fax(330) 627-4826
Organization SubpartNo
Authorized OfficialDavid L. LyonPresident · (330) 627-9789
Enumeration DateDecember 1, 2006
Last NPPES UpdateJune 16, 2008
✔ NPI 1174691927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in OH · 1010128
Definition
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.
701 CREST ST NW, Carrollton, OH 44615
Open in Google Maps ↗

Other Identifiers 1

OtherM1000179OH · Mrdd Provider

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 36D2243311

St John's Villa · Carrollton, OH
Active · expires Nov 16, 2027
CLIA Number36D2243311
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateNovember 17, 2025
Certificate Expiration DateNovember 16, 2027
Laboratory DirectorValerie Huff
Laboratory Phone(330) 627-9789
Laboratory LocationSt John's Villa701 Crest St NW, Carrollton, OH 44615
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 St. John's Villa's NPI number?

The NPI number for St. John's Villa is 1174691927. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is St. John's Villa located?

St. John's Villa is located at 701 Crest St NW, Carrollton, OH 44615. The listed phone number is (330) 627-9789.

What is St. John's Villa's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does St. John's Villa hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2243311) is associated with this NPI, valid through November 16, 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 St. John's Villa was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.