PEACEFUL RESIDENTIAL SERVICES,LLC
NPI 1811261571
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Columbus, OH

NPI Status: Active since February 28, 2012

Contact Information

2151 E DUBLIN GRANVILLE RD
COLUMBUS, OH
ZIP 43229
Phone: (614) 423-8326
Fax: (614) 423-8326

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  • Organization
  • Community Based Residential Treatment Fa...
  • CLIA Number: 36D2240336
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 10-18-2025

About PEACEFUL RESIDENTIAL SERVICES,LLC

This page provides the complete NPI Profile along with additional information for Peaceful Residential Services,llc, a provider established in Columbus, Ohio operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1811261571 assigned on February 2012. The practitioner's primary taxonomy code is 320900000X with license number 2558601 (OH). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Leroy Cooper (Ceo)

NPI
1811261571
Provider Name
PEACEFUL RESIDENTIAL SERVICES,LLC
Entity Type
Organization
Location Address
2151 E DUBLIN GRANVILLE RD COLUMBUS, OH 43229
Location Phone
(614) 423-8326
Location Fax
(614) 423-8326
Mailing Address
2151 E DUBLIN GRANVILLE RD COLUMBUS, OH 43229
Mailing Phone
(614) 423-8326
Mailing Fax
(614) 423-8326
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-28-2012
Last Update Date
02-28-2012
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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

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320900000X
Type
Residential Treatment Facilities
License No.
2558601
License State
OH
Taxonomy Description
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. LEROY COOPER

Authorized Official Title
CEO
Authorized Official Phone
(614) 423-8326

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
36D2240336
Facility Type
Home Health Agency
Certificate Effective Date
October 19, 2023
Certificate Expiration Date
October 18, 2025
Laboratory Director
SAHRO G. AHMED
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Peaceful Residential Services,llc 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 1811261571, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
1
Doubled → 2
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
5
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
1
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 2 → 4 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 2 + 1 + 4 + 6 + 2 + 5 + 1 + 4 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1811261571.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Home Health
2151 E DUBLIN GRANVILLE RD, SUITE 215
COLUMBUS, OH 43229
Home Health
2151 E DUBLIN GRANVILLE RD, STE # 204
COLUMBUS, OH 43229
Home Health
2151 E DUBLIN GRANVILLE RD, SUITE 217
COLUMBUS, OH 43229
Home Health
2151 E DUBLIN GRANVILLE RD, STE #204
COLUMBUS, OH 43229

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811261571, enumerated as an "organization" on February 28, 2012.

The provider is located at 2151 E DUBLIN GRANVILLE RD COLUMBUS, OH 43229 and the phone number is (614) 423-8326.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.