1. Home
  2. Directory
  3. Ohio
  4. Washington Court House
  5. Point Of Service
  6. NPI Profile

CARRIAGE COURT WASHINGTON COURTHOUSE, LLC
NPI 1174728059
Point of Service in Washington Court House, OH

Active since June 19, 2007CLIA 36D1030301 · Waiver
500 N GLENN AVE, WASHINGTON COURT HOUSE, OH 43160(740) 333-3434(740) 333-3435 Get Directions Write a Review

NPPES record last updated: May 12, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carriage Court Washington Courthouse, Llc NPPES

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

CARRIAGE COURT WASHINGTON COURTHOUSE, LLC (NPI 1174728059) is a healthcare organization registered as a point of service in Washington Court House, Ohio and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through September 1, 2026 and lists John Holtz, Controller, as its authorized official.

NPPES Registry Identity

NPI1174728059
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameCARRIAGE COURT WASHINGTON COURTHOUSE, LLC
Location Address500 N GLENN AVEWashington Court House, OH 43160-2713
Mailing Address78 Centennial LoopEugene, OR 97401-7900 · (541) 747-3373 · Fax (541) 747-0673
Phone(740) 333-3434
Fax(740) 333-3435
Organization SubpartNo
Authorized OfficialJohn HoltzController · (541) 747-3373
Enumeration DateJune 19, 2007
Last NPPES UpdateMay 12, 2008
✔ NPI 1174728059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
500 N GLENN AVE, Washington Court House, OH 43160
Open in Google Maps ↗

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 36D1030301

Carriage Court Of Washington Court House · Washington Court House, OH
Active · expires Sep 1, 2026
CLIA Number36D1030301
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 2, 2024
Certificate Expiration DateSeptember 1, 2026
Laboratory DirectorKathryn Colburn
Laboratory Phone(312) 837-0710
Laboratory LocationCarriage Court Of Washington Court House500 N Glenn Avenue, Washington Court House, OH 43160
CLIA data matches this NPI record on: Address
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.

MIDWEST CARE WASHINGTON CH LLC
Assisted Living Facility
500 N GLENN AVE
WASHINGTON COURT HOUSE, OH 43160
Fayette County (740) 333-3434
CARRIAGE COURT OF WASHINGTON COURT HOUSE
Assisted Living Facility
500 N GLENN AVE
WASHINGTON COURT HOUSE, OH 43160
Fayette County (740) 333-3434
WC-WASHINGTON CH OPS, LLC
Assisted Living Facility
500 N GLENN AVE
WASHINGTON COURT HOUSE, OH 43160
Fayette County (740) 333-3434

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 Carriage Court Washington Courthouse, LLC's NPI number?

The NPI number for Carriage Court Washington Courthouse, LLC is 1174728059. It was assigned to this organization in the NPPES registry on June 19, 2007.

Where is Carriage Court Washington Courthouse, LLC located?

Carriage Court Washington Courthouse, LLC is located at 500 N Glenn Ave, Washington Court House, OH 43160. The listed phone number is (740) 333-3434.

What is Carriage Court Washington Courthouse, LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

Does Carriage Court Washington Courthouse, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1030301) is associated with this NPI, valid through September 1, 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 Carriage Court Washington Courthouse, LLC was last updated on May 12, 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.