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OAK HAVEN RESIDENTIAL CARE LLC
NPI 1780280560
Assisted Living Facility in Cloverdale, OH

Active since December 08, 2020CLIA 36D2273945 · Waiver
152 MAIN ST, CLOVERDALE, OH 45827(419) 488-2310(419) 488-2321 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Oak Haven Residential Care Llc NPPES

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

OAK HAVEN RESIDENTIAL CARE LLC (NPI 1780280560) is a healthcare organization registered as an assisted living facility in Cloverdale, Ohio and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through December 20, 2026 and lists Sherry Kaye Webb, Administrator, as its authorized official.

NPPES Registry Identity

NPI1780280560
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameOAK HAVEN RESIDENTIAL CARE LLC
Location Address152 MAIN STCloverdale, OH 45827-9778
Mailing AddressPo Box 86Cloverdale, OH 45827-0086 · (419) 488-2310 · Fax (419) 488-2321
Phone(419) 488-2310
Fax(419) 488-2321
Organization SubpartNo
Authorized OfficialSherry Kaye WebbAdministrator · (419) 615-3357
Enumeration DateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
✔ NPI 1780280560 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.
152 MAIN ST, Cloverdale, OH 45827
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Other Identifiers 1

Medicaid0109295OH

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 36D2273945

Oak Haven Residential Care Center · Cloverdale, OH
Active · expires Dec 20, 2026
CLIA Number36D2273945
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 21, 2024
Certificate Expiration DateDecember 20, 2026
Laboratory DirectorJennifer Kortorax
Laboratory Phone(419) 488-2310
Laboratory LocationOak Haven Residential Care Center152 Main Street, Cloverdale, OH 45827
CLIA data matches this NPI record on: Address Name Phone
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 Oak Haven Residential Care LLC's NPI number?

The NPI number for Oak Haven Residential Care LLC is 1780280560. It was assigned to this organization in the NPPES registry on December 8, 2020.

Where is Oak Haven Residential Care LLC located?

Oak Haven Residential Care LLC is located at 152 Main St, Cloverdale, OH 45827. The listed phone number is (419) 488-2310.

What is Oak Haven Residential Care LLC's specialty?

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

Does Oak Haven Residential Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2273945) is associated with this NPI, valid through December 20, 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 Oak Haven Residential Care LLC was last updated on December 8, 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.