JOSEPHINE HOUSE
NPI 1437166824
Intermediate Care Facility, Intellectual Disabilities in Brunswick, OH

Active since August 01, 2006CLIA 36D0865418 · Waiver
2039 JOSEPHINE BLVD, 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 Josephine House NPPES

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

JOSEPHINE HOUSE (NPI 1437166824) 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 August 31, 2026 and lists Denise T Pozderac, President/administrator, as its authorized official.

NPPES Registry Identity

NPI1437166824
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameJOSEPHINE HOUSE
Location Address2039 JOSEPHINE BLVDBrunswick, OH 44212-4031
Mailing Address791 Pearl RdBrunswick, OH 44212-2528 · (330) 273-5494 · Fax (330) 273-6199
Fax(330) 273-6199
Organization SubpartYesParent: Transitional Living Centers, Inc.
Authorized OfficialDenise T PozderacPresident/administrator · (330) 273-5494
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 12, 2007
NPI 1437166824 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 · 5210168
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
2039 JOSEPHINE BLVD, Brunswick, OH 44212

Other Identifiers 2

Medicaid36-G455OH
Medicaid0899185OH

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 36D0865418

Josephine House · Brunswick, OH
Active · expires Aug 31, 2026
CLIA Number36D0865418
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDenise T. Pozderac
Laboratory Phone(216) 225-6969
Laboratory LocationJosephine House2039 Josephine Blvd, 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 Josephine House's NPI number?

The NPI number for Josephine House is 1437166824. It was assigned to this organization in the NPPES registry on August 1, 2006.

Where is Josephine House located?

Josephine House is located at 2039 Josephine Blvd, Brunswick, OH 44212. The listed phone number is (330) 273-5494.

What is Josephine House's specialty?

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

Does Josephine House hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0865418) 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 Josephine 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.