Organization Active NPI

Wood Lane Industries

  • Developmentally Disabled Services Day Training Agency
  • Bowling Green, OH
National Provider Identifier
1154879062
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
8702041 Issued in OH
Legal business name
WOOD LANE INDUSTRIES
Practice address
705 W Newton Rd
Bowling Green, OH 43402-9026
Phone
(419) 352-5059
Fax
(419) 354-4320
NPI assigned
Sep 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Melinda Kale
Title
Ceo
Phone
(419) 352-5059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 8702041 OH Primary

Addresses

Primary practice location

705 W Newton Rd
Bowling Green, OH 43402-9026

Mailing address

991 S Main St
Bowling Green, OH 43402-4708
Phone (419) 352-5059

Other identifiers 1

IdentifierTypeStateIssuer
0179481MedicaidOH

National Provider Directory

National Provider Directory

Locations

705 W Newton Rd
Bowling Green, OH 43402
Phone (419) 352-5059

991 S Main St
Bowling Green, OH 43402

NPI Registry JSON

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1154879062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 S MAIN ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434024708",
            "telephone_number": "419-352-5059",
            "fax_number": "419-354-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W NEWTON RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029026",
            "telephone_number": "419-352-5059",
            "fax_number": "419-354-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD LANE INDUSTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "KALE",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-352-5059"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "8702041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0179481",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.