RESIDENCE OF CHARDON
NPI 1639672207
Assisted Living Facility in Chardon, OH
About Residence Of Chardon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RESIDENCE OF CHARDON (NPI 1639672207) is a healthcare organization registered as an assisted living facility in Chardon, Ohio and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through September 24, 2026 and lists Gloria Holland, Vp Of Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 36D2193848
Residence Of Chardon, The · Chardon, OHOther Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Csl Chardon, LLC's NPI number?
The NPI number for Csl Chardon, LLC is 1639672207. It was assigned to this organization in the NPPES registry on March 9, 2018. The provider is doing business as Residence Of Chardon.
Where is Csl Chardon, LLC located?
Csl Chardon, LLC is located at 501 Chardon Windsor Rd, Chardon, OH 44024. The listed phone number is (440) 286-2277.
What is Csl Chardon, LLC's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Csl Chardon, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D2193848) is associated with this NPI, valid through September 24, 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 Csl Chardon, LLC was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Residence Of Chardon · NPI 1639672207
Assisted Living Facility organization in Chardon, Ohio. Organization record, active in the CMS NPPES registry since March 9, 2018.
## Identity
- **NPI:** 1639672207 (Entity type: Organization)
- **Enumerated:** March 9, 2018
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Legal business name:** Csl Chardon, Llc
- **Organization subpart:** No
- **Authorized official:** Gloria Holland, VP OF FINANCE
## Practice location
- **Address:** 501 CHARDON WINDSOR RD, Chardon, OH 44024-8944
- **Phone:** (440) 286-2277
## Record status
- **NPPES last updated:** June 16, 2018
- **Other identifiers:** Medicaid 0074878 (OH)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639672207) · Data from the CMS NPPES public registry.