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DIAMOND VIEW RCF
NPI 1679756837
Assisted Living Facility in Mansfield, OH

Active since December 11, 2007CLIA 36D0680192 · Waiver
111 S DIAMOND ST, MANSFIELD, OH 44902(419) 522-4450(419) 522-4552 Get Directions Write a Review

NPPES record last updated: December 11, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diamond View Rcf NPPES

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

DIAMOND VIEW RCF (NPI 1679756837) is a healthcare organization registered as an assisted living facility in Mansfield, Ohio and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Michael F Jedra, Administrator, as its authorized official.

NPPES Registry Identity

NPI1679756837
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTAEJ RESIDENTIAL CARE, LLC
Location Address111 S DIAMOND STMansfield, OH 44902-7510
Mailing Address111 S Diamond StMansfield, OH 44902-7510 · (419) 522-4450 · Fax (419) 522-4552
Phone(419) 522-4450
Fax(419) 522-4552
Organization SubpartNo
Authorized OfficialMichael F JedraAdministrator · (419) 522-4450
Enumeration DateDecember 11, 2007
✔ NPI 1679756837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in OH · 1457R
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.
111 S DIAMOND ST, Mansfield, OH 44902
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Other Names 1

Doing Business AsDiamond View Rcf

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 36D0680192

Taej Residential Care LLC Dba Diamondview · Mansfield, OH
Active · expires Aug 31, 2026
CLIA Number36D0680192
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMichael F. Jedra
Laboratory Phone(419) 522-4450
Laboratory LocationTaej Residential Care LLC Dba Diamondview111 S Diamond Street, Mansfield, OH 44902
CLIA data matches this NPI record on: Address 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.

HAROLD SCHROEDER PHD & ASSOCIATES
Psychologist
111 S DIAMOND ST
MANSFIELD, OH 44902
Richland County (330) 672-3787
HAROLD SCHROEDER PHD
Psychologist
111 S DIAMOND ST
MANSFIELD, OH 44902
Richland County (330) 672-3787

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 Taej Residential Care, LLC's NPI number?

The NPI number for Taej Residential Care, LLC is 1679756837. It was assigned to this organization in the NPPES registry on December 11, 2007. The provider is doing business as Diamond View Rcf.

Where is Taej Residential Care, LLC located?

Taej Residential Care, LLC is located at 111 S Diamond St, Mansfield, OH 44902. The listed phone number is (419) 522-4450.

What is Taej Residential Care, LLC's specialty?

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

Does Taej Residential Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0680192) 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 Taej Residential Care, LLC was last updated on December 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.