WOOD LANE RESIDENTIAL SERVICES
NPI 1649891029
Intermediate Care Facility, Intellectual Disabilities in Walbridge, OH

NPI Status: Active since April 27, 2020

Contact Information

300 ELM ST
WALBRIDGE, OH
ZIP 43465
Phone: (419) 666-2344

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About WOOD LANE RESIDENTIAL SERVICES

This page provides the complete NPI Profile along with additional information for Wood Lane Residential Services, a provider established in Walbridge, Ohio operating as a Intermediate Care Facility, Intellectual Disabilities. The healthcare provider is registered in the NPI registry with number 1649891029 assigned on April 2020. The practitioner's primary taxonomy code is 315P00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Jessica Blakely (Ceo)

NPI
1649891029
Provider Name
WOOD LANE RESIDENTIAL SERVICES
Entity Type
Organization
Location Address
300 ELM ST WALBRIDGE, OH 43465
Location Phone
(419) 666-2344
Mailing Address
545 PEARL ST BOWLING GREEN, OH 43402
Mailing Phone
(419) 353-9577
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-27-2020
Last Update Date
04-27-2020
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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
Taxonomy Description
An intermediate care facility providing services for individuals with intellectual 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

JESSICA BLAKELY

Authorized Official Title
CEO
Authorized Official Phone
(419) 353-9577

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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.
1649891029
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2689169204
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 1 + 6 + 9 + 2 + 0 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1649891029 is valid because the calculated check digit 9 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
1033363379WOOD COUNTY BOARD OF MR/DD
Organization
Nursing Care300 ELM ST
WALBRIDGE, OH 43465
(419) 352-5115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649891029, enumerated in the NPI registry as an "organization" on April 27, 2020

The provider is located at 300 Elm St Walbridge, Oh 43465 and the phone number is (419) 666-2344

This medical organization specializes in Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X

This NPI record was last updated on April 27, 2020. 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].
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