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OTTERBEIN CRIDERSVILLE
NPI 1437712841
Assisted Living Facility in Cridersville, OH

Active since April 22, 2019CLIA 36D0666565 · Waiver
OTTERBEIN CRIDERSVILLE, 100 RED OAK, CRIDERSVILLE, OH 45806(419) 645-5114 Get Directions Write a Review

NPPES record last updated: April 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Otterbein Cridersville NPPES

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

OTTERBEIN CRIDERSVILLE (NPI 1437712841) is a healthcare organization registered as an assisted living facility in Cridersville, 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

NPI1437712841
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameOTTERBEIN CRIDERSVILLE
Location AddressOTTERBEIN CRIDERSVILLE, 100 RED OAKCridersville, OH 45806
Mailing Address580 North State Route 741Lebanon, OH 45036-8839 · (513) 933-5401 · Fax (513) 932-1054
Phone(419) 645-5114
Organization SubpartYes
Authorized OfficialJames Chris GreenTreasurer & Cfo · (513) 933-5418
Enumeration DateApril 22, 2019
✔ NPI 1437712841 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.
OTTERBEIN CRIDERSVILLE, Cridersville, OH 45806
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Other Names 1

Other NameOtterbein Cridersville 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 36D0666565

Otterbein Cridersville · Cridersville, OH
Active · expires Aug 31, 2026
CLIA Number36D0666565
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorNicole Daniels
Laboratory Phone(419) 645-5114
Laboratory LocationOtterbein Cridersville100 Red Oak Drive, Cridersville, OH 45806
CLIA data matches this NPI record on: Name Phone
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 Otterbein Cridersville's NPI number?

The NPI number for Otterbein Cridersville is 1437712841. It was assigned to this organization in the NPPES registry on April 22, 2019. The provider is also known as Otterbein Cridersville Assisted Living.

Where is Otterbein Cridersville located?

Otterbein Cridersville is located at Otterbein Cridersville 100 Red Oak, Cridersville, OH 45806. The listed phone number is (419) 645-5114.

What is Otterbein Cridersville's specialty?

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

Does Otterbein Cridersville hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0666565) 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 Otterbein Cridersville 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.