Abbeyville House
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Valley City, OH
NPI 1235129586 · NPPES record last updated Jul 12, 2007
Key facts
- NPI
- 1235129586
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- 5210186 (OH)
- Legal business name
- ABBEYVILLE HOUSE
- Practice address
- 2525 Abbeyville Rd
Valley City, OH 44280-9734 - Phone
- (330) 273-5494
- Fax
- (330) 273-6199
- NPI assigned
- Oct 27, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- TRANSITIONAL LIVING CENTERS, INC.
Authorized official
- Name
- Ms. Denise Trivanovich Pozderac, LNHA
- Title
- Administrator President
- Phone
- (330) 273-5494
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 13
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0865410 | Abbeyville House | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
- Tax ID family
- Valley House
- Part of
- Valley House
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | 5210186 | OH | Yes |
Addresses
Primary practice location
2525 Abbeyville Rd
Valley City, OH 44280-9734
Mailing address
791 Pearl Rd
P.O. Box 810
Brunswick, OH 44212-2528
Phone (330) 273-5494
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0919797 | Medicaid | OH | |
| 36-G468 | Medicaid | OH |
Other providers in Valley City, OH
- Betty A Barlow
- Maureen Bartinelli
- BL Building & Remodeling LLC
- Bluebird Counseling and Wellness, LLC
- Lorrie Bradnan
All providers in Valley City, OH · Intellectual Disabilities Intermediate Care Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.