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LAUREL HOUSE
NPI 1427066968
Intermediate Care Facility, Intellectual Disabilities in Brunswick, OH

Active since August 03, 2006CLIA 36D0896959 · Waiver
3588 LAUREL RD, BRUNSWICK, OH 44212(330) 273-5494(330) 273-6199 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laurel House NPPES

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

LAUREL HOUSE (NPI 1427066968) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Brunswick, Ohio and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Denise T Pozderac, President/administrator, as its authorized official.

NPPES Registry Identity

NPI1427066968
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameLAUREL HOUSE
Location Address3588 LAUREL RDBrunswick, OH 44212-3667
Mailing Address791 Pearl RdBrunswick, OH 44212-2528 · (330) 273-5494 · Fax (330) 273-6199
Phone(330) 273-5494
Fax(330) 273-6199
Organization SubpartYesParent: Transitional Living Centers, Inc.
Authorized OfficialDenise T PozderacPresident/administrator · (330) 273-5494
Enumeration DateAugust 3, 2006
Last NPPES UpdateJuly 12, 2007
✔ NPI 1427066968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in OH · 5210220
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
3588 LAUREL RD, Brunswick, OH 44212
Open in Google Maps ↗

Other Identifiers 2

Medicaid36-G492OH
Medicaid0119446OH

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 36D0896959

Laurel House · Brunswick, OH
Active · expires Jan 24, 2027
CLIA Number36D0896959
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorDenise T. Pozderac
Laboratory Phone(330) 225-1329
Laboratory LocationLaurel House3588 Laurel Road, Brunswick, OH 44212
CLIA data matches this NPI record on: Address Name
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 Laurel House's NPI number?

The NPI number for Laurel House is 1427066968. It was assigned to this organization in the NPPES registry on August 3, 2006.

Where is Laurel House located?

Laurel House is located at 3588 Laurel Rd, Brunswick, OH 44212. The listed phone number is (330) 273-5494.

What is Laurel House's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Laurel House hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0896959) is associated with this NPI, valid through January 24, 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 Laurel House was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.