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Apostolic Christian Country Villa

Organization Active NPI Assisted Living Facility · Paulding, OH

NPI 1023249752 · NPPES record last updated Jun 25, 2026

Key facts

NPI
1023249752
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
License
2398R (OH)
Legal business name
APOSTOLIC CHRISTIAN COUNTRY VILLA
Practice address
12651 Road 82
Paulding, OH 45879-9545
Phone
(419) 399-2345
Fax
(419) 399-2341
NPI assigned
Jul 29, 2009
Organization subpart
No

Authorized official

Name
James Richard Linder
Title
Administrator
Phone
(419) 399-2345

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2198768Apostolic Christian Country Villa
12651 Road 82, Paulding, OH 45879		Certificate of waiverNov 3, 2026

National Provider Directory

Locations

12651 Road 82
Paulding, OH 45879
Phone (419) 399-2345

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2398R OH Yes

Addresses

Primary practice location

12651 Road 82
Paulding, OH 45879-9545

Mailing address

12651 Road 82
Paulding, OH 45879-9545
Phone (419) 399-2345

Other identifiers

IdentifierTypeStateIssuer
2961086MedicaidOH

Other names

  • Country Inn Doing business as
  • Country Inn Enhanced Living Center Doing business as

Other providers in Paulding, OH

All providers in Paulding, OH · Assisted Living Facility in Ohio

Sources for this page

Verify at the official NPI Registry.