ROSE LANE, INC
NPI 1386643948
Skilled Nursing Facility in Massillon, OH

Active since July 18, 2005CLIA 36D0710004 · Waiver
5425 HIGH MILL AVE NW, MASSILLON, OH 44646(330) 833-3174(330) 833-4216 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rose Lane, Inc NPPES

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

ROSE LANE, INC (NPI 1386643948) is a healthcare organization registered as a skilled nursing facility in Massillon, Ohio and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Dennis W. Potts, Nha/president, as its authorized official.

NPPES Registry Identity

NPI1386643948
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameROSE LANE, INC
Location Address5425 HIGH MILL AVE NWMassillon, OH 44646-9005
Mailing Address5425 High Mill Ave NwMassillon, OH 44646-9005 · (330) 833-3174 · Fax (330) 833-4216
Fax(330) 833-4216
Organization SubpartNo
Authorized OfficialDennis W. PottsNha/president · (330) 833-3174
Enumeration DateJuly 18, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1386643948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in OH · 4070
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

5425 HIGH MILL AVE NW, Massillon, OH 44646

Other Identifiers 1

Medicaid7500172OH

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 36D0710004

Rose Lane Health Center · Massillon, OH
Active · expires Aug 31, 2026
CLIA Number36D0710004
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorStephen E. Connelly
Laboratory Phone(216) 833-3174
Laboratory LocationRose Lane Health Center5425 High Mill Ave NW, Massillon, OH 44646
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Community Health Worker
5425 HIGH MILL AVE NW
MASSILLON, OH 44646
Skilled Nursing Facility
5425 HIGH MILL AVE NW
MASSILLON, OH 44646
Occupational Therapist
5425 HIGH MILL AVE NW
MASSILLON, OH 44646

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 Rose Lane, Inc's NPI number?

The NPI number for Rose Lane, Inc is 1386643948. It was assigned to this organization in the NPPES registry on July 18, 2005.

Where is Rose Lane, Inc located?

Rose Lane, Inc is located at 5425 High Mill Ave NW, Massillon, OH 44646. The listed phone number is (330) 833-3174.

What is Rose Lane, Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Rose Lane, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0710004) is associated with this NPI, valid through August 31, 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 Rose Lane, Inc was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.