SCIOTO TRAILS CHALET
NPI 1538436340
Intermediate Care Facility, Intellectual Disabilities in Lucasville, OH

Active since November 22, 2011CLIA 36D0930653 · Waiver
374 GOOD MANOR RD, LUCASVILLE, OH 45648(740) 289-2861(740) 289-4355 Get Directions Write a Review

NPPES record last updated: December 23, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Intermediate Care Facility, Intellectual...
  • CLIA Number: 36D0930653
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 07-15-2027

About SCIOTO TRAILS CHALET

This page provides the complete NPI Profile along with additional information for Scioto Trails Chalet, a provider established in Lucasville, Ohio operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1538436340 assigned on November 2011. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Scioto Trails Chalet. The authorized official of this NPI record is Brian Colleran (President)

NPI
1538436340 Verify this NPI
Provider Legal Name
SCIOTO GROUP HOME, INC.
Other Organization Name
SCIOTO TRAILS CHALET
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
374 GOOD MANOR RD LUCASVILLE, OH 45648
Location Phone
(740) 289-2861
Location Fax
(740) 289-4355
Mailing Address
25000 COUNTRY CLUB BLVD STE 255 NORTH OLMSTED, OH 44070
Mailing Phone
(440) 614-0160
Mailing Fax
(440) 614-0168
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-22-2011
Last Update Date
12-23-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual disabilities.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRIAN COLLERAN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(440) 614-0160

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6610153OTHER (01)OHDODD FACILITY NUMBER

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D0930653
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
July 16, 2025
Certificate Expiration Date
July 15, 2027
Laboratory Director
SHAYLA BECZE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Scioto Trails Chalet to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SCIOTO TRAILS CHALET

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Intermediate Care Facility, Intellectual Disabilities
374 GOOD MANOR RD
LUCASVILLE, OH 45648
Intermediate Care Facility, Intellectual Disabilities
374 GOOD MANOR RD
LUCASVILLE, OH 45648
Intermediate Care Facility, Intellectual Disabilities
374 GOOD MANOR RD
LUCASVILLE, OH 45648
Intermediate Care Facility, Intellectual Disabilities
374 GOOD MANOR RD
LUCASVILLE, OH 45648

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538436340, enumerated as an "organization" on November 22, 2011.

The provider is located at 374 GOOD MANOR RD LUCASVILLE, OH 45648 and the phone number is (740) 289-2861.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.