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HOLLOWOOD HOUSE
NPI 1225045255
Intermediate Care Facility, Intellectual Disabilities in Brunswick, OH

Active since August 02, 2006CLIA 36D0930435 · Waiver
3717 ALESIA KAE DR, BRUNSWICK, OH 44212(330) 273-5494(330) 273-6199 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hollowood House NPPES

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

HOLLOWOOD HOUSE (NPI 1225045255) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Brunswick, Ohio and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Denise T Pozderac, President/administrator, as its authorized official.

NPPES Registry Identity

NPI1225045255
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameHOLLOWOOD HOUSE
Location Address3717 ALESIA KAE DRBrunswick, OH 44212-5012
Mailing Address791 Pearl RdBrunswick, OH 44212-2528 · (330) 273-5494 · Fax (330) 273-6199
Phone(330) 273-5494
Fax(330) 273-6199
Organization SubpartYesParent: Transitional Living Centers, Inc.
Authorized OfficialDenise T PozderacPresident/administrator · (330) 273-5494
Enumeration DateAugust 2, 2006
Last NPPES UpdateJuly 12, 2007
✔ NPI 1225045255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in OH · 5210284
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
3717 ALESIA KAE DR, Brunswick, OH 44212
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Other Identifiers 2

Medicaid36-G533OH
Medicaid2015161OH

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 36D0930435

Hollowood House · Brunswick, OH
Active · expires Jul 14, 2027
CLIA Number36D0930435
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJuly 15, 2025
Certificate Expiration DateJuly 14, 2027
Laboratory DirectorDenise Pozderac
Laboratory Phone(330) 273-5494
Laboratory LocationHollowood House3717 Alesia Kae Drive, Brunswick, OH 44212
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 Hollowood House's NPI number?

The NPI number for Hollowood House is 1225045255. It was assigned to this organization in the NPPES registry on August 2, 2006.

Where is Hollowood House located?

Hollowood House is located at 3717 Alesia Kae Dr, Brunswick, OH 44212. The listed phone number is (330) 273-5494.

What is Hollowood House's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Hollowood House hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0930435) is associated with this NPI, valid through July 14, 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 Hollowood House was last updated on July 12, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.