NPIMap

Organization Active NPI

Liljana House

  • Intellectual Disabilities Intermediate Care Facility
  • Valley City, OH
National Provider Identifier
1154561470
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
5210195 Issued in OH
Legal business name
LILJANA HOUSE
Practice address
6721 Grafton Rd
Suite1
Valley City, OH 44280-9705
Phone
(330) 273-5494
Fax
(330) 273-6199
NPI assigned
Feb 26, 2009
Last updated
Feb 26, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
TRANSITIONAL LIVING CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Denise T Pozderac
Title
President
Phone
(330) 273-5494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 5210195 OH Primary

Addresses

Primary practice location

6721 Grafton Rd
Suite1
Valley City, OH 44280-9705

Mailing address

1980 Columbia Rd
Valley City, OH 44280-9533
Phone (330) 483-1037

Other identifiers 2

IdentifierTypeStateIssuer
2903166MedicaidOH
5210195OtherOHOHIO DEPARTMENT OF MRDD LICENSURE

National Provider Directory

National Provider Directory
Tax ID family
Valley House14 organizations share this tax ID, including this one
Part of
Valley House

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1154561470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 COLUMBIA RD",
            "city": "VALLEY CITY",
            "state": "OH",
            "postal_code": "442809533",
            "telephone_number": "330-483-1037",
            "fax_number": "330-273-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6721 GRAFTON RD",
            "address_2": "SUITE1",
            "city": "VALLEY CITY",
            "state": "OH",
            "postal_code": "442809705",
            "telephone_number": "330-273-5494",
            "fax_number": "330-273-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILJANA HOUSE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRANSITIONAL LIVING CENTERS",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "POZDERAC",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-273-5494",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "5210195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2903166",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPARTMENT OF MRDD LICENSURE",
            "identifier": "5210195",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.