OTTERBEIN PORTAGE VALLEY
NPI 1417510785
Assisted Living Facility in Pemberville, OH

Q: What is Otterbein Portage Valley's NPI number?

The NPI number for Otterbein Portage Valley is 1417510785. It was assigned to this organization in the NPPES registry on April 22, 2019. The provider is also known as Otterbein Portage Valley Assisted Living.

Q: What is Otterbein Portage Valley's specialty?

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

Q: What quality rating does Otterbein Portage Valley have?

CMS rates Otterbein Portage Valley 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since April 22, 2019CLIA 36D0697177 · Waiver

4/5

Overall Rating

20311 PEMBERVILLE ROAD, PEMBERVILLE, OH 43450(513) 933-5401 Get Directions Write a Review

NPPES record last updated: April 22, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Otterbein Portage Valley NPPES

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

OTTERBEIN PORTAGE VALLEY (NPI 1417510785) is a healthcare organization registered as an assisted living facility in Pemberville, Ohio and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists James Chris Green, Treasurer & Cfo, as its authorized official.

NPPES Registry Identity

NPI1417510785

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameOTTERBEIN PORTAGE VALLEY

Location Address20311 PEMBERVILLE ROADPemberville, OH 43450-9202

Mailing Address580 N State Route 741Lebanon, OH 45036-8839 · (513) 933-5401 · Fax (513) 932-1054

Phone(513) 933-5401

Organization SubpartYes

Authorized OfficialJames Chris GreenTreasurer & Cfo · (513) 933-5418

Enumeration DateApril 22, 2019

✔ NPI 1417510785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

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.

20311 PEMBERVILLE ROAD, Pemberville, OH 43450

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Other Names 1

Other NameOtterbein Portage Valley Assisted Living

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 36D0697177

Otterbein Portage Valley Retirement Village · Pemberville, OH

Active · expires Aug 31, 2026

CLIA Number36D0697177

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorVickie Reese

Laboratory Phone(419) 833-4700

Laboratory LocationOtterbein Portage Valley Retirement Village20311 Pemberville Road, Pemberville, OH 43450

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Otterbein Portage Valley (CMS certification number 365571), from CMS Care Compare.

Otterbein Portage Valley

Nursing home · Pemberville, OH

4/5 CMS Overall Rating

OwnershipNon profit - Church related

CMS Certification Number365571

Certified Beds50 beds43 residents per day on average

Medicare & Medicaid Participant SinceDecember 15, 1981

Resident & Family CouncilResident council

Continuing care retirement community Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

5/5

Long-Stay Quality

Quality of care delivered to long-term residents.

5/5

Short-Stay Quality

Quality of care delivered to short-term and rehabilitation residents.

4/5

Staffing

Based on nursing staff hours relative to resident needs.

3/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

56.67

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 1.86 · LPN 0.9 · RN 1.08

3.84 hrs per resident per day

Weekend Nurse Staffing

3.09 hrs per resident per day

Physical Therapist Staffing

0.08 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

55.4%

Registered Nurse Turnover

50%

Administrators Who Have Left

In the past year.

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Infection-Control Citations

Fines

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Otterbein Portage Valley's NPI number?

The NPI number for Otterbein Portage Valley is 1417510785. It was assigned to this organization in the NPPES registry on April 22, 2019. The provider is also known as Otterbein Portage Valley Assisted Living.

Where is Otterbein Portage Valley located?

Otterbein Portage Valley is located at 20311 Pemberville Road, Pemberville, OH 43450. The listed phone number is (513) 933-5401.

What is Otterbein Portage Valley's specialty?

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

Does Otterbein Portage Valley hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0697177) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Otterbein Portage Valley a Medicare-certified nursing home?

Yes. Otterbein Portage Valley is a Medicare-certified nursing home with 50 certified beds.

What quality rating does Otterbein Portage Valley have?

CMS rates Otterbein Portage Valley 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Otterbein Portage Valley was last updated on April 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.