HERITAGE MANOR
NPI 1689413163
Clinic/Center - Adult Day Care in Youngstown, OH
NPI Status: Active since May 23, 2024
Contact Information
517 GYPSY LANE
YOUNGSTOWN, OH
ZIP 44504
Phone: (330) 746-1076
Fax: (330) 743-3115
- Organization
- Clinic/Center
- Adult Day Care
- CLIA Number: 36D2189756
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 08-04-2026
About HERITAGE MANOR
This page provides the complete NPI Profile along with additional information for Heritage Manor, a provider established in Youngstown, Ohio operating as a Clinic/center, focusing in adult day care . The healthcare provider is registered in the NPI registry with number 1689413163 assigned on May 2024. The practitioner's primary taxonomy code is 261QA0600X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is David John Stauffer (Cfo)
- NPI
- 1689413163
- Provider Name
- HERITAGE MANOR
- Entity Type
- Organization
- Location Address
- 517 GYPSY LANE YOUNGSTOWN, OH 44504
- Location Phone
- (330) 746-1076
- Location Fax
- (330) 743-3115
- Mailing Address
- 505 GYPSY LN YOUNGSTOWN, OH 44504
- Mailing Phone
- (330) 746-3250
- Mailing Fax
- (330) 743-3115
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-23-2024
- Last Update Date
- 04-27-2026
- Code Navigator
Location Map
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
Clinic/Center Adult Day Care
- Taxonomy Code
- 261QA0600X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251S00000X | Agencies | Community/Behavioral Health | |
| 2 | 332U00000X | Suppliers | Home Delivered Meals | |
| 3 | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | |
| 4 | 347B00000X | Transportation Services | Bus |
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
- 36D2189756
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- August 05, 2024
- Certificate Expiration Date
- August 04, 2026
- Laboratory Director
- ERIC M. MURRAY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Heritage Manor 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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1689413163, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689413163, enumerated as an "organization" on May 23, 2024.
The provider is located at 517 GYPSY LANE YOUNGSTOWN, OH 44504 and the phone number is (330) 746-1076.
Clinic/Center with taxonomy code 261QA0600X and a focus in Adult Day Care.
