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ST. LUKE LUTHERAN COMMUNITY - PORTAGE LAKES
NPI 1629665146
Assisted Living Facility in New Franklin, OH

Active since December 30, 2020CLIA 36D0341034 · Waiver
615 LATHAM LN, NEW FRANKLIN, OH 44319(330) 644-3914(330) 644-8966 Get Directions Write a Review

NPPES record last updated: December 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Luke Lutheran Community - Portage Lakes NPPES

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

ST. LUKE LUTHERAN COMMUNITY - PORTAGE LAKES (NPI 1629665146) is a healthcare organization registered as an assisted living facility in New Franklin, Ohio and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Joyce L Mohler, Cfo, as its authorized official.

NPPES Registry Identity

NPI1629665146
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameST. LUKE LUTHERAN COMMUNITY - PORTAGE LAKES
Location Address615 LATHAM LNNew Franklin, OH 44319-4338
Mailing Address220 Applegrove St NeNorth Canton, OH 44720-1610 · (330) 499-8341 · Fax (330) 497-6141
Phone(330) 644-3914
Fax(330) 644-8966
Organization SubpartYes
Authorized OfficialJoyce L MohlerCfo · (330) 499-8341
Enumeration DateDecember 30, 2020
NPPES CertifiedDecember 30, 2020
✔ NPI 1629665146 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.
615 LATHAM LN, New Franklin, OH 44319
Open in Google Maps ↗

Other Identifiers 1

Medicaid2444797OH

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 36D0341034

St Luke Lutheran Community Portage Lakes · Akron, OH
Active · expires Aug 31, 2026
CLIA Number36D0341034
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorElizabeth T. Swift
Laboratory Phone(330) 644-3914
Laboratory LocationSt Luke Lutheran Community Portage Lakes615 Latham Lane, Akron, OH 44319
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT ROY GALLOWAY PTA
Physical Therapy Assistant
615 LATHAM LN
NEW FRANKLIN, OH 44319
Summit County (330) 644-3914
PORTAGE LAKES SKILLED NURSING LLC
Skilled Nursing Facility
615 LATHAM LN
NEW FRANKLIN, OH 44319
Summit County (330) 644-3914

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 St. Luke Lutheran Community - Portage Lakes's NPI number?

The NPI number for St. Luke Lutheran Community - Portage Lakes is 1629665146. It was assigned to this organization in the NPPES registry on December 30, 2020.

Where is St. Luke Lutheran Community - Portage Lakes located?

St. Luke Lutheran Community - Portage Lakes is located at 615 Latham Ln, New Franklin, OH 44319. The listed phone number is (330) 644-3914.

What is St. Luke Lutheran Community - Portage Lakes's specialty?

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

Does St. Luke Lutheran Community - Portage Lakes hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0341034) 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 St. Luke Lutheran Community - Portage Lakes was last updated on December 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.