GREENEWOOD MANOR
NPI 1245217678
Nursing Facility/Intermediate Care Facility in Xenia, OH

NPI Status: Active since December 28, 2005

Contact Information

711 DAYTON XENIA RD
XENIA, OH
ZIP 45385
Phone: (937) 562-7550
Fax: (937) 562-7593

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  • Organization
  • Nursing Facility/Intermediate Care Facil...
  • CLIA Number: 36D0348869
  • CLIA Cert. Type: Public Health Laboratories
  • CLIA Exp. Date: 04-14-2028

About GREENEWOOD MANOR

This page provides the complete NPI Profile along with additional information for Greenewood Manor, a provider established in Xenia, Ohio operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1245217678 assigned on December 2005. The practitioner's primary taxonomy code is 313M00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Greenewood Manor. The authorized official of this NPI record is Mrs. Denise R Percival Lnha (Nursing Home Administrator)

NPI
1245217678
Provider Legal Name
GREENE COUNTY
Other Organization Name
GREENEWOOD MANOR
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
711 DAYTON XENIA RD XENIA, OH 45385
Location Phone
(937) 562-7550
Location Fax
(937) 562-7593
Mailing Address
711 DAYTON XENIA RD XENIA, OH 45385
Mailing Phone
(937) 562-7550
Mailing Fax
(937) 562-7593
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-28-2005
Last Update Date
12-21-2011
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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

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

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

MRS. DENISE R PERCIVAL LNHA

Authorized Official Title
NURSING HOME ADMINISTRATOR
Authorized Official Phone
(937) 562-7550

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
365454MEDICARE ID-TYPE UNSPECIFIED (04)OH 
0342025MEDICAID (05)OH 

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
36D0348869
Facility Type
Public Health Laboratories
Certificate Effective Date
April 15, 2026
Certificate Expiration Date
April 14, 2028
Laboratory Director
KEVIN L. SHARRETT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Greenewood Manor 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.

Reviews for GREENEWOOD MANOR

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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 1245217678, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 8 + 5 + 4 + 1 + 1 + 4 + 6 + 1 + 4 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1245217678.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Occupational Therapist
711 DAYTON XENIA RD, GREENWOOD MANOR
XENIA, OH 45385
Clinic/Center (Adult Day Care)
711 DAYTON XENIA RD
XENIA, OH 45385

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245217678, enumerated as an "organization" on December 28, 2005.

The provider is located at 711 DAYTON XENIA RD XENIA, OH 45385 and the phone number is (937) 562-7550.

Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

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