Clyde Al, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CLYDE AL, LLC

Practice address

700 Coulson St
Clyde, OH 43410-2065

Phone

(419) 547-5267

NPI assigned

Oct 7, 2025

Last updated

Oct 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alida Raynor, RN

Title

Clinical Compliance Nurse

Phone

(206) 501-6732

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1285509539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 COULSON ST",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434102065",
            "telephone_number": "419-547-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COULSON ST",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434102065",
            "telephone_number": "419-547-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLYDE AL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "RAYNOR",
        "authorized_official_first_name": "ALIDA",
        "authorized_official_title_or_position": "CLINICAL COMPLIANCE NURSE",
        "authorized_official_telephone_number": "206-501-6732",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "R1715",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie J Castillo, CNP
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• Charles P House Sr DO
• Bobby Oburn Clark
• Tara Clark
• Clyde-Green Springs Exempted Village School District
• Raymond M Colavincenzo, DDS
• D Ross Irons MD, Inc
• Discount Drug Mart Inc (Discount Drug Mart)
• Dreffer, Hicks, & Demos O.D. Inc. (Family Eye Care Centers)

• Assisted Living Facility in Clyde, OH
• Providers in Clyde, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.