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WOOD LANE RESIDENTIAL SERVICES, INC.
NPI 1215029525
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities in Portage, OH

Active since September 28, 2006
349 W MAIN ST., PORTAGE, OH 43451(419) 353-9577 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, May 23, 2017 and 1 more (4 updates tracked since 2016).

About Wood Lane Residential Services, Inc. NPPES

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

WOOD LANE RESIDENTIAL SERVICES, INC. (NPI 1215029525) is a healthcare organization registered as a respite care, intellectual and/or developmental disabilities in Portage, Ohio and active in the NPI registry since September 2006. The organization maintains 2 additional practice locations and lists Jessica Blakely, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1215029525
Entity TypeOrganization
Primary Taxonomy385HR2060X
Legal Business NameWOOD LANE RESIDENTIAL SERVICES, INC.
Location Address349 W MAIN ST.Portage, OH 43451
Mailing Address545 Pearl StBowling Green, OH 43402-2731 · (419) 353-9577
Phone(419) 353-9577
Organization SubpartNo
Authorized OfficialJessica BlakelyChief Executive Officer · (419) 353-9577
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1215029525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesRespite Care Facility
Taxonomy Code385HR2060X
Definition

A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X
349 W MAIN ST., Portage, OH 43451
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Secondary Practice Locations 2

Location 11005 Klotz RdBowling Green, OH 43402-4820 · Phone (419) 353-9577
Location 21009 Klotz RdBowling Green, OH 43402-4820 · Phone (419) 353-9577

Other Identifiers 9

Medicaid36G087OH
Medicaid36G345OH
Medicaid36G475OH
Medicaid36G344OH
Medicaid2585751OH
Medicaid36G381OH
Medicaid36G260OH
Medicaid36G261OH
Medicaid36G474OH

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, Inc.'s NPI number?

The NPI number for Wood Lane Residential Services, Inc. is 1215029525. It was assigned to this organization in the NPPES registry on September 28, 2006.

Where is Wood Lane Residential Services, Inc. located?

Wood Lane Residential Services, Inc. is located at 349 W Main St., Portage, OH 43451. The listed phone number is (419) 353-9577.

What is Wood Lane Residential Services, Inc.'s specialty?

The primary specialty registered for this NPI is Respite Care, specializing in Respite Care, Intellectual and/or Developmental Disabilities, with taxonomy code 385HR2060X.

When was this NPI record last updated?

The NPPES record for Wood Lane Residential Services, Inc. was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.