NORTHWEST OHIO DEVELOPMENTAL CENTER
NPI 1497959605
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Toledo, OH

Active since June 12, 2007CLIA 36D2252739 · Waiver
1101 S DETROIT AVE, TOLEDO, OH 43614(419) 385-0231(419) 382-0719 Get Directions Write a Review

NPPES record last updated: August 24, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northwest Ohio Developmental Center NPPES

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

NORTHWEST OHIO DEVELOPMENTAL CENTER (NPI 1497959605) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Toledo, Ohio and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through February 13, 2028 and lists Ethel Hierholzer, Operations Director, as its authorized official.

NPPES Registry Identity

NPI1497959605
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameNORTHWEST OHIO DEVELOPMENTAL CENTER
Location Address1101 S DETROIT AVEToledo, OH 43614-2704
Mailing Address1101 S Detroit AveToledo, OH 43614-2704 · (419) 385-0231 · Fax (419) 382-0719
Fax(419) 382-0719
Organization SubpartYesParent: State Of Ohio - Department Of Mrdd
Authorized OfficialEthel HierholzerOperations Director · 14193850231
Enumeration DateJune 12, 2007
Last NPPES UpdateAugust 24, 2010
✔ NPI 1497959605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
1101 S DETROIT AVE, Toledo, OH 43614

Other Identifiers 2

Medicaid2411287OH
Medicare PIN9382412OH

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northwest Ohio Developmental Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

262

Medicare enrollment records show 262 clinicians reassign Medicare billing to Northwest Ohio Developmental Center, which bills Medicare for the services they deliver. Of these, 18 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Psychiatry137
Clinical Psychologist42
Nurse Practitioner28
Internal Medicine16
Family Practice13
Clinical Social Worker6
Neurology4
Podiatry4
7 other specialties12

Nearest to this location (20)

See all 262
Family Practice
NPI 1932183043
1015 GARDEN LAKE PKWY
Toledo, OH 43614
(419) 383-5500
✔ PECOS0.3 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1730506692
930 S DETROIT AVE
Toledo, OH 43614
(419) 381-1881
✔ PECOS✔ Accepts Medicare0.3 mi
Clinical Psychologist
NPI 1033205349
930 S DETROIT AVE
Toledo, OH 43614
(419) 381-1881
✔ PECOS✔ Accepts Medicare0.3 mi
Clinical Psychologist
NPI 1831285139
930 S DETROIT AVE
Toledo, OH 43614
(419) 381-1881
✔ PECOS✔ Accepts Medicare0.3 mi
Psychiatry
NPI 1174589154
930 S DETROIT AVE
Toledo, OH 43614
(419) 381-1881
✔ PECOS0.3 mi
Clinical Psychologist
NPI 1336235621
930 S DETROIT AVE
Toledo, OH 43614
(419) 381-1881
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1912778499
930 S DETROIT AVE
Toledo, OH 43614
(419) 383-1881
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1750867099
930 S DETROIT AVE
Toledo, OH 43614
(419) 381-1881
✔ PECOS✔ Accepts Medicare0.3 mi
Pediatric Medicine
NPI 1770617029
5701 SWAN CREEK DR
Toledo, OH 43614
(419) 490-6448
✔ PECOS✔ Accepts Medicare4.2 mi
Nurse Practitioner
NPI 1023978038
3028 PEMBERTON DR APT 5
Toledo, OH 43606
(419) 262-4103
✔ PECOS✔ Accepts Medicare4.2 mi
Psychiatry
NPI 1881857043
4895 MONROE ST STE 200
Toledo, OH 43623
(419) 725-2527
✔ PECOS✔ Accepts Medicare5.8 mi
Emergency Medicine
NPI 1326019969
5901 MONCLOVA RD
Maumee, OH 43537
(419) 893-5968
✔ PECOS5.9 mi
Nurse Practitioner
NPI 1407332737
2751 BAY PARK DR STE 302
Oregon, OH 43616
(419) 690-7686
✔ PECOS✔ Accepts Medicare6.2 mi
Psychiatry
NPI 1720206998
6605 W CENTRAL AVE
Toledo, OH 43617
(419) 841-7701
✔ PECOS✔ Accepts Medicare6.5 mi
Psychiatry
NPI 1265673990
6605 W CENTRAL AVE
Toledo, OH 43617
(419) 841-7701
✔ PECOS✔ Accepts Medicare6.5 mi
Psychiatry
NPI 1144246703
6605 WEST CENTRAL AVENUE
Toledo, OH 43617
(419) 841-7701
✔ PECOS✔ Accepts Medicare6.5 mi
Psychiatry
NPI 1518053818
6605 W CENTRAL AVE
Toledo, OH 43617
(419) 841-7701
✔ PECOS6.6 mi
Psychiatry
NPI 1538179890
7640 SYLVANIA AVE STE L
Sylvania, OH 43560
(567) 455-5906
✔ PECOS✔ Accepts Medicare8.2 mi
Nurse Practitioner
NPI 1023590411
1507 GLENEAGLES DR
Bowling Green, OH 43402
(513) 673-8006
✔ PECOS✔ Accepts Medicare18 mi
Psychiatry
NPI 1376639757
1045 KLOTZ RD
Bowling Green, OH 43402
(419) 352-7588
✔ PECOS18 mi
See all 262 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 36D2252739

Northwest Ohio Developmental Center, The · Toledo, OH
Active · expires Feb 13, 2028
CLIA Number36D2252739
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateFebruary 14, 2026
Certificate Expiration DateFebruary 13, 2028
Laboratory DirectorLarry Johnson
Laboratory Phone(419) 385-0231
Laboratory LocationNorthwest Ohio Developmental Center, The1101 South Detroit Ave, Toledo, OH 43614
CLIA data matches this NPI record on: Address 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 Northwest Ohio Developmental Center's NPI number?

The NPI number for Northwest Ohio Developmental Center is 1497959605. It was assigned to this organization in the NPPES registry on June 12, 2007.

Where is Northwest Ohio Developmental Center located?

Northwest Ohio Developmental Center is located at 1101 S Detroit Ave, Toledo, OH 43614. The listed phone number is (419) 385-0231.

What is Northwest Ohio Developmental Center's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Is Northwest Ohio Developmental Center enrolled in Medicare?

Yes. Northwest Ohio Developmental Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northwest Ohio Developmental Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 262 clinicians in 15 Medicare specialties reassign their Medicare billing to Northwest Ohio Developmental Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (137), Clinical Psychologist (42) and Nurse Practitioner (28). Of these, 18 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northwest Ohio Developmental Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2252739) is associated with this NPI, valid through February 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northwest Ohio Developmental Center was last updated on August 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.