WOOD LANE RESIDENTIAL SERVICES, INC. – NPI #1215029525
Respite Care

A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.

WOOD LANE RESIDENTIAL SERVICES, INC. is a respite care facility located in PORTAGE, OH. NPPES has assigned the NPI number 1215029525 to WOOD LANE RESIDENTIAL SERVICES, INC. on September 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 385HR2060X from the Health Care Provider Taxonomy code set, which is classified as Respite Care, specializing in Respite Care, Intellectual and/or Developmental Disabilities, Child

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WOOD LANE RESIDENTIAL SERVICES, INC. below.

NPI Profile for
WOOD LANE RESIDENTIAL SERVICES, INC.

NPI Number
1215029525
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WOOD LANE RESIDENTIAL SERVICES, INC.
Primary location
349 W MAIN ST.
PORTAGE, OH 43451
Phone: (419) 353-9577 Fax:
2 Other location(s):
1005 Klotz Rd
Bowling Green, OH 43402-4820
Phone: (419) 353-9577
1009 Klotz Rd
Bowling Green, OH 43402-4820
Phone: (419) 353-9577
Mailing address
545 PEARL ST
BOWLING GREEN, OH 43402-2731
Phone: (419) 353-9577 Fax:
Organization Subpart
No
Authorized Official
JESSICA BLAKELY
CHIEF EXECUTIVE OFFICER
Phone: (419) 353-9577
Updated
Identifiers

Identifiers for WOOD LANE RESIDENTIAL SERVICES, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
MEDICAIDOH36G345
MEDICAIDOH36G474
MEDICAIDOH2585751
MEDICAIDOH36G261
MEDICAIDOH36G087
MEDICAIDOH36G260
MEDICAIDOH36G344
MEDICAIDOH36G381
MEDICAIDOH36G475
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.