NORTHWEST OHIO DEVELOPMENTAL CENTER
NPI 1497959605
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Toledo, OH

NPI Status: Active since June 12, 2007

Contact Information

1101 S DETROIT AVE
TOLEDO, OH
ZIP 43614
Phone: (419) 385-0231
Fax: (419) 382-0719

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  • Organization
  • Residential Treatment Facility, Intellec...
  • CLIA Number: 36D2252739
  • CLIA Cert. Type: Intermediate Care Facility for Mentally Retarded
  • CLIA Exp. Date: 02-13-2026

About NORTHWEST OHIO DEVELOPMENTAL CENTER

This page provides the complete NPI Profile along with additional information for Northwest Ohio Developmental Center, a provider established in Toledo, Ohio operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1497959605 assigned on June 2007. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Ethel Hierholzer (Operations Director)

NPI
1497959605
Provider Name
NORTHWEST OHIO DEVELOPMENTAL CENTER
Entity Type
Organization
Location Address
1101 S DETROIT AVE TOLEDO, OH 43614
Location Phone
(419) 385-0231
Location Fax
(419) 382-0719
Mailing Address
1101 S DETROIT AVE TOLEDO, OH 43614
Mailing Phone
(419) 385-0231
Mailing Fax
(419) 382-0719
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-12-2007
Last Update Date
08-24-2010
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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

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License State
OH
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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

ETHEL HIERHOLZER

Authorized Official Title
OPERATIONS DIRECTOR
Authorized Official Phone

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
2411287MEDICAID (05)OH 
9382412MEDICARE PIN (08)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
36D2252739
Facility Type
Intermediate Care Facility for Mentally Retarded
Certificate Effective Date
February 14, 2024
Certificate Expiration Date
February 13, 2026
Laboratory Director
FREDERICK G. BODMER III
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Northwest Ohio Developmental Center 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 Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497959605
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241871851860
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 8 + 5 + 1 + 8 + 6 + 0 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1497959605 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679262109 BROOKE MARIE METCALF
Individual
Speech-Language Pathologist1101 S DETROIT AVE
TOLEDO, OH 43614
(419) 385-0231

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497959605, enumerated in the NPI registry as an "organization" on June 12, 2007

The provider is located at 1101 S Detroit Ave Toledo, Oh 43614 and the phone number is (419) 385-0231

This medical organization specializes in Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 36D2252739 for a "intermediate care facility for mentally retarded" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on June 12, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.