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INDEPENDENCE VILLAGE AVON LAKE LLC.
NPI 1245645332
Assisted Living Facility in Avon Lake, OH

Active since June 26, 2014CLIA 36D2203873 · Waiver
345 LEAR RD, AVON LAKE, OH 44012(440) 930-7100(440) 930-2679 Get Directions Write a Review

NPPES record last updated: June 26, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Independence Village Avon Lake Llc. NPPES

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

INDEPENDENCE VILLAGE AVON LAKE LLC. (NPI 1245645332) is a healthcare organization registered as an assisted living facility in Avon Lake, Ohio and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through December 6, 2026 and lists Jeffrey Alan Knight, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1245645332
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameINDEPENDENCE VILLAGE AVON LAKE LLC.
Location Address345 LEAR RDAvon Lake, OH 44012-2096
Mailing Address345 Lear RdAvon Lake, OH 44012-2096 · (440) 930-7100 · Fax (440) 930-2679
Phone(440) 930-7100
Fax(440) 930-2679
Organization SubpartNo
Authorized OfficialJeffrey Alan KnightExecutive Director · (440) 930-7100
Enumeration DateJune 26, 2014
✔ NPI 1245645332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in OH · 2361R
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
345 LEAR RD, Avon Lake, OH 44012
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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 36D2203873

Independence Village Of Avon Lake · Avon Lake, OH
Active · expires Dec 6, 2026
CLIA Number36D2203873
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorTeresa L. Honaker
Laboratory Phone(440) 930-7100
Laboratory LocationIndependence Village Of Avon Lake345 Lear Rd, Avon Lake, OH 44012
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE MARIE FLUHARTY COTA/L
Occupational Therapy Assistant
345 LEAR RD
AVON LAKE, OH 44012
Lorain County (440) 930-7100
KATELYN WARD
Speech-Language Pathologist
345 LEAR RD
AVON LAKE, OH 44012
Lorain County (440) 930-7100
NIKKI KRISCHER PTA
Physical Therapy Assistant
345 LEAR RD
AVON LAKE, OH 44012
Lorain County (440) 930-7100
ALISON WISWELL
Occupational Therapy Assistant
345 LEAR RD
AVON LAKE, OH 44012
Lorain County (440) 930-7100
MEGAN MCCARNEY PT
Physical Therapist
345 LEAR RD
AVON LAKE, OH 44012
Lorain County (410) 459-7733
LAURA JUNE MAYER OTD, OTR/L
Occupational Therapist
345 LEAR RD
AVON LAKE, OH 44012
Lorain County (440) 930-7100
PAUL T DUESLER DPT
Physical Therapist
345 LEAR RD
AVON LAKE, OH 44012
Lorain County (740) 953-1184
JODI WASHBURN PT
Physical Therapist
345 LEAR RD
AVON LAKE, OH 44012
Lorain County (440) 930-7100

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 Independence Village Avon Lake LLC.'s NPI number?

The NPI number for Independence Village Avon Lake LLC. is 1245645332. It was assigned to this organization in the NPPES registry on June 26, 2014.

Where is Independence Village Avon Lake LLC. located?

Independence Village Avon Lake LLC. is located at 345 Lear Rd, Avon Lake, OH 44012. The listed phone number is (440) 930-7100.

What is Independence Village Avon Lake LLC.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Independence Village Avon Lake LLC. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2203873) is associated with this NPI, valid through December 6, 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 Independence Village Avon Lake LLC. was last updated on June 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.