KINGSTON RESIDENCE OF VERMILION, LLC
NPI 1851670020
Assisted Living Facility in Vermilion, OH

NPI Status: Active since August 05, 2011

Contact Information

6010 W LAKE RD
VERMILION, OH
ZIP 44089
Phone: (440) 967-2424
Fax: (440) 967-2669

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  • Organization
  • Assisted Living Facility
  • CLIA Number: 36D0714478
  • CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
  • CLIA Exp. Date: 08-31-2026

About KINGSTON RESIDENCE OF VERMILION, LLC

This page provides the complete NPI Profile along with additional information for Kingston Residence Of Vermilion, Llc, a provider established in Vermilion, Ohio operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1851670020 assigned on August 2011. The practitioner's primary taxonomy code is 310400000X with license number 2239R (OH). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Larry Nirschl (Treasurer)

NPI
1851670020
Provider Name
KINGSTON RESIDENCE OF VERMILION, LLC
Entity Type
Organization
Location Address
6010 W LAKE RD VERMILION, OH 44089
Location Phone
(440) 967-2424
Location Fax
(440) 967-2669
Mailing Address
1 SEAGATE SUITE #1960 TOLEDO, OH 43604
Mailing Phone
(419) 247-2880
Mailing Fax
(440) 967-2669
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-05-2011
Last Update Date
08-05-2011
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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
License No.
2239R
License State
OH
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.

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

MR. LARRY NIRSCHL

Authorized Official Title
TREASURER
Authorized Official Phone
(419) 247-2824

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
36D0714478
Facility Type
Skilled Nursing Facility/Nursing Facility
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
LORI WUITOWICZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kingston Residence Of Vermilion, Llc 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.
1851670020
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28101127004
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 0 + 1 + 1 + 2 + 7 + 0 + 0 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1851670020 is valid because the calculated check digit 0 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 1851670020, enumerated in the NPI registry as an "organization" on August 05, 2011

The provider is located at 6010 W Lake Rd Vermilion, Oh 44089 and the phone number is (440) 967-2424

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

The provider's CLIA number is 36D0714478 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 August 05, 2011. 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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