Transitional Living Centers, Inc.
Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Brunswick, OH
NPI 1922016401 · NPPES record last updated Jul 16, 2008
Key facts
- NPI
- 1922016401
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual Disabilities Intermediate Care Facility 315P00000X
- License
- 5210177 (OH)
- Legal business name
- TRANSITIONAL LIVING CENTERS, INC.
- Practice address
- 3787 Applewood Dr
Brunswick, OH 44212-4170 - Phone
- (330) 273-5494
- Fax
- (330) 273-6199
- NPI assigned
- Aug 3, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- TRANSITIONAL LIVING CENTERS, INC
Authorized official
- Name
- Denise T Pozderac, LNHA
- Title
- President/Administrator
- 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 |
|---|---|---|---|
| 36D0865415 | Applewood 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 | 5210177 | OH | Yes |
Addresses
Primary practice location
3787 Applewood Dr
Brunswick, OH 44212-4170
Mailing address
791 Pearl Rd
Brunswick, OH 44212-2528
Phone (330) 273-5494
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36-G461 | Medicaid | OH | |
| 0900001 | Medicaid | OH |
Other names
- Applewood House
Other providers in Brunswick, OH
- Kathryn Toledo
- Darlene Toth
- Kelly Toth
- Qiara N Townsend
- Transitional Living Centers, Inc.
- Jennifer C Traska
- Kelly June Treharn
- Melissa Truce
- Two Enterprises Inc.
- Ultimate Med Inc
All providers in Brunswick, 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 16, 2008. 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.