TOWN SQUARE HOSPICE OHIO LLC
NPI 1265219224
Hospice Care, Community Based in Medina, OH

NPI Status: Active since September 13, 2023

Contact Information

3995 MEDINA RD STE 210
MEDINA, OH
ZIP 44256
Phone: (330) 588-3803
Fax: (330) 590-9666

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  • Organization
  • Hospice Care, Community Based
  • CLIA Number: 36D2295371
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 12-10-2025

About TOWN SQUARE HOSPICE OHIO LLC

This page provides the complete NPI Profile along with additional information for Town Square Hospice Ohio Llc, a provider established in Medina, Ohio operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1265219224 assigned on September 2023. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Michael Wik (Chairman Of The Board)

NPI
1265219224
Provider Name
TOWN SQUARE HOSPICE OHIO LLC
Entity Type
Organization
Location Address
3995 MEDINA RD STE 210 MEDINA, OH 44256
Location Phone
(330) 588-3803
Location Fax
(330) 590-9666
Mailing Address
3995 MEDINA RD STE 210 MEDINA, OH 44256
Mailing Phone
(330) 588-3803
Mailing Fax
(330) 590-9666
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-13-2023
Last Update Date
03-07-2025
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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

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

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

MICHAEL WIK

Authorized Official Title
CHAIRMAN OF THE BOARD
Authorized Official Phone
(312) 498-3541

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
36D2295371
Facility Type
Hospice
Certificate Effective Date
December 11, 2023
Certificate Expiration Date
December 10, 2025
Laboratory Director
JAMIE L. PATTERSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Town Square Hospice Ohio Llc 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.

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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 1265219224, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
2
Doubled → 4
Check
4
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 6 → 12 → 3 2 → 4 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 2 + 5 + 4 + 1 + 1 + 8 + 2 + 4 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1265219224.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265219224, enumerated as an "organization" on September 13, 2023.

The provider is located at 3995 MEDINA RD STE 210 MEDINA, OH 44256 and the phone number is (330) 588-3803.

Hospice Care, Community Based with taxonomy code 251G00000X.