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LUTHER HOME OF MERCY INC.
NPI 1538135173
Intermediate Care Facility, Intellectual Disabilities in Williston, OH

Active since February 24, 2006CLIA 36D0699839 · Waiver
5810 N MAIN, WILLISTON, OH 43468(419) 725-5225(419) 836-9238 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Luther Home Of Mercy Inc. NPPES

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

LUTHER HOME OF MERCY INC. (NPI 1538135173) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Williston, Ohio and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Donald Wukotich, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1538135173
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameLUTHER HOME OF MERCY INC.
Location Address5810 N MAINWilliston, OH 43468
Mailing Address5810 North Main St., P O Box 187Williston, OH 43468 · (419) 725-5225 · Fax (419) 836-9238
Phone(419) 725-5225
Fax(419) 836-9238
Organization SubpartNo
Authorized OfficialDonald WukotichExecutive Director · (419) 725-5226
Enumeration DateFebruary 24, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1538135173 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 · 1575
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
5810 N MAIN, Williston, OH 43468
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Other Identifiers 2

MedicaidM6200364OH
Medicaid0035287OH

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 36D0699839

Luther Home Of Mercy · Williston, OH
Active · expires Aug 31, 2028
CLIA Number36D0699839
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorTerri J. Rodriguez
Laboratory Phone(419) 836-7741
Laboratory LocationLuther Home Of Mercy5810 N Main St PO Box 187, Williston, OH 43468
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 Luther Home Of Mercy Inc.'s NPI number?

The NPI number for Luther Home Of Mercy Inc. is 1538135173. It was assigned to this organization in the NPPES registry on February 24, 2006.

Where is Luther Home Of Mercy Inc. located?

Luther Home Of Mercy Inc. is located at 5810 N Main, Williston, OH 43468. The listed phone number is (419) 725-5225.

What is Luther Home Of Mercy Inc.'s specialty?

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

Does Luther Home Of Mercy Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0699839) is associated with this NPI, valid through August 31, 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 Luther Home Of Mercy Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.