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SAMUEL HOUSE
NPI 1548278302
Intermediate Care Facility, Intellectual Disabilities in Brunswick, OH

Active since August 04, 2006CLIA 36D0896956 · Waiver
2088 SAMUEL DR, 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 16, 2026.

About Samuel House NPPES

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

SAMUEL HOUSE (NPI 1548278302) 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 January 24, 2027 and lists Denise T Pozderac, President/administrator, as its authorized official.

NPPES Registry Identity

NPI1548278302
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameSAMUEL HOUSE
Location Address2088 SAMUEL DRBrunswick, OH 44212-4149
Mailing Address791 Pearl RdBrunswick, OH 44212-2528 · (330) 273-5494 · Fax (330) 273-6199
Phone(330) 273-5494
Fax(330) 273-6199
Organization SubpartYesParent: Transitional Living Centers, Inc.
Authorized OfficialDenise T PozderacPresident/administrator · (330) 273-5494
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 12, 2007
✔ NPI 1548278302 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 · 5210239
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
2088 SAMUEL DR, Brunswick, OH 44212
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Other Identifiers 2

Medicaid0159439OH
Medicaid36-G505OH

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 36D0896956

Samuel House · Brunswick, OH
Active · expires Jan 24, 2027
CLIA Number36D0896956
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorDenise T. Pozerac
Laboratory Phone(330) 220-7397
Laboratory LocationSamuel House2088 Samuel Road, Brunswick, OH 44212
CLIA data matches this NPI record on: 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 Samuel House's NPI number?

The NPI number for Samuel House is 1548278302. It was assigned to this organization in the NPPES registry on August 4, 2006.

Where is Samuel House located?

Samuel House is located at 2088 Samuel Dr, Brunswick, OH 44212. The listed phone number is (330) 273-5494.

What is Samuel House's specialty?

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

Does Samuel House hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0896956) is associated with this NPI, valid through January 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Samuel 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.