EVELYN
NPI 1891932398
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Mansfield, OH
NPI Status: Active since January 21, 2009
Contact Information
592 EVELYN AVE
MANSFIELD, OH
ZIP 44907
Phone: (419) 522-0611
- Organization
- Community Based Residential Treatment Fa...
- CLIA Number: 36D2152276
- CLIA Cert. Type: Other - JAIL MEDICAL UNIT
- CLIA Exp. Date: 08-06-2026
About EVELYN
This page provides the complete NPI Profile along with additional information for Evelyn, a provider established in Mansfield, 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 1891932398 assigned on January 2009. The practitioner's primary taxonomy code is 320900000X with license number 7010406 (OH). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's other name is Evelyn. The authorized official of this NPI record is Ms. Elizabeth G Prather (Superintendent)
- NPI
- 1891932398
- Provider Legal Name
- RICHLAND COUNTY
- Other Organization Name
- EVELYN
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 592 EVELYN AVE MANSFIELD, OH 44907
- Location Phone
- (419) 522-0611
- Mailing Address
- 314 CLEVELAND AVE MANSFIELD, OH 44902
- Mailing Phone
- (419) 774-4200
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-21-2009
- Last Update Date
- 01-21-2009
- 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
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- License No.
- 7010406
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7010406 | OTHER (01) | ODMRDD | |
| 2902630 | MEDICAID (05) | OH | |
| 36G639 | MEDICARE OSCAR/CERTIFICATION (06) | OH |
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
- 36D2152276
- Facility Type
- Other - JAIL MEDICAL UNIT
- Certificate Effective Date
- August 07, 2024
- Certificate Expiration Date
- August 06, 2026
- Laboratory Director
- TONYA POWELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Evelyn 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 1891932398, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).
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 72 is 80. 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.
MANSFIELD, OH 44907
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891932398, enumerated as an "organization" on January 21, 2009.
The provider is located at 592 EVELYN AVE MANSFIELD, OH 44907 and the phone number is (419) 522-0611.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
