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LAKE COUNTY BOARD DD
NPI 1275107880
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Mentor, OH

Active since May 18, 2021CLIA 36D0897606 · Waiver
8121 DEEPWOOD BOULEVARD, BUILDING B, MENTOR, OH 44060(440) 350-5100(440) 350-5290 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake County Board Dd NPPES

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

LAKE COUNTY BOARD DD (NPI 1275107880) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Mentor, Ohio and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through February 8, 2027 and lists Efriede Roman, Superintendent, as its authorized official.

NPPES Registry Identity

NPI1275107880
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameLAKE COUNTY BOARD DD
Location Address8121 DEEPWOOD BOULEVARD, BUILDING BMentor, OH 44060-7703
Mailing Address8121 Deepwood Boulevard, Building BMentor, OH 44060-7703 · (440) 350-5100 · Fax (440) 350-5290
Phone(440) 350-5100
Fax(440) 350-5290
Organization SubpartYes
Authorized OfficialEfriede RomanSuperintendent · (440) 350-5100
Enumeration DateMay 18, 2021
NPPES CertifiedMay 18, 2021
✔ NPI 1275107880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
8121 DEEPWOOD BOULEVARD, Mentor, OH 44060
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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 36D0897606

Lake County Board Of Dd/Deepwood · Mentor, OH
Active · expires Feb 8, 2027
CLIA Number36D0897606
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorRobin R. Irons
Laboratory Phone(440) 350-5095
Laboratory LocationLake County Board Of Dd/Deepwood8121 Deepwood Blvd, Mentor, OH 44060
CLIA data matches this NPI record on: Address
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 Lake County Board Dd's NPI number?

The NPI number for Lake County Board Dd is 1275107880. It was assigned to this organization in the NPPES registry on May 18, 2021.

Where is Lake County Board Dd located?

Lake County Board Dd is located at 8121 Deepwood Boulevard Building B, Mentor, OH 44060. The listed phone number is (440) 350-5100.

What is Lake County Board Dd's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does Lake County Board Dd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0897606) is associated with this NPI, valid through February 8, 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 Lake County Board Dd was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.