ELMS RETIREMENT VILLAGE
NPI 1780826024
Assisted Living Facility in Wellington, OH

NPI Status: Active since April 01, 2009

Contact Information

115 PROSPECT ST
WELLINGTON, OH
ZIP 44090
Phone: (440) 647-2414
Fax: (440) 647-1624

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 36D0334855
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About ELMS RETIREMENT VILLAGE

This page provides the complete NPI Profile along with additional information for Elms Retirement Village, a provider established in Wellington, Ohio operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1780826024 assigned on April 2009. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Elms Retirement Village. The authorized official of this NPI record is Kenneth A. Malanovski (President)

NPI
1780826024
Provider Legal Name
ASSISTED LIVING SERVICES INC
Other Organization Name
ELMS RETIREMENT VILLAGE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
115 PROSPECT ST WELLINGTON, OH 44090
Location Phone
(440) 647-2414
Location Fax
(440) 647-1624
Mailing Address
3905 OBERLIN AVE. LORAIN, OH 44053
Mailing Phone
(440) 647-2414
Mailing Fax
(440) 647-1624
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-01-2009
Last Update Date
07-10-2019
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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

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1313M00000XNursing & Custodial Care Facilities

Nursing Facility/Intermediate Care Facility

5694 (OH)

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

KENNETH A. MALANOVSKI

Authorized Official Title
PRESIDENT
Authorized Official Phone
(440) 989-5235

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
2938218MEDICAID (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
36D0334855
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
BARBARA J. SNEZEK DON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Elms Retirement Village 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.

Reviews for ELMS RETIREMENT VILLAGE

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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.
1780826024
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271601621204
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 1 + 6 + 2 + 1 + 2 + 0 + 4 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1780826024 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780826024, enumerated in the NPI registry as an "organization" on April 01, 2009

The provider is located at 115 Prospect St Wellington, Oh 44090 and the phone number is (440) 647-2414

This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X

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 36D0334855 for a "skilled nursing facility/nursing facility" 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 April 01, 2009. 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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