APPLEWOOD HOUSE
NPI 1922016401
Intermediate Care Facility, Intellectual Disabilities in Brunswick, OH

NPI Status: Active since August 03, 2006

Contact Information

3787 APPLEWOOD DR
BRUNSWICK, OH
ZIP 44212
Phone: (330) 273-5494
Fax: (330) 273-6199

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  • Organization
  • Intermediate Care Facility, Intellectual...
  • CLIA Number: 36D0865415
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 08-31-2026

About APPLEWOOD HOUSE

This page provides the complete NPI Profile along with additional information for Applewood House, a provider established in Brunswick, Ohio operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1922016401 assigned on August 2006. The practitioner's primary taxonomy code is 315P00000X with license number 5210177 (OH). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's other name is Applewood House. The authorized official of this NPI record is Denise T Pozderac Lnha (President/administrator)

NPI
1922016401
Provider Legal Name
TRANSITIONAL LIVING CENTERS, INC.
Other Organization Name
APPLEWOOD HOUSE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
3787 APPLEWOOD DR BRUNSWICK, OH 44212
Location Phone
(330) 273-5494
Location Fax
(330) 273-6199
Mailing Address
791 PEARL RD BRUNSWICK, OH 44212
Mailing Phone
(330) 273-5494
Mailing Fax
(330) 273-6199
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-03-2006
Last Update Date
07-16-2008
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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

Intermediate Care Facility, Intellectual Disabilities

Taxonomy Code
315P00000X
Type
Nursing & Custodial Care Facilities
License No.
5210177
License State
OH
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual 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.

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

DENISE T POZDERAC LNHA

Authorized Official Title
PRESIDENT/ADMINISTRATOR
Authorized Official Phone
(330) 273-5494

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
36-G461MEDICAID (05)OH 
0900001MEDICAID (05)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
36D0865415
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
DENISE T. POZDERAC
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Applewood House 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 1922016401, 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 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
9
Unchanged
Pos 3
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
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 2 → 4 0 → 0 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 4 + 2 + 0 + 1 + 1 + 2 + 4 + 0 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1922016401.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922016401, enumerated as an "organization" on August 03, 2006.

The provider is located at 3787 APPLEWOOD DR BRUNSWICK, OH 44212 and the phone number is (330) 273-5494.

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.