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Wood Lane Residential Services, Inc.

Child Intellectual and/or Developmental Disabilities Respite Care in Portage, OH · enumerated 2006 · authorized official Jessica Blakely, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215029525

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Registry record

Entity type Organization (Type 2)
Legal business name Wood Lane Residential Services, Inc.
Practice address 349 W Main St., Portage, OH, 43451
Phone (419) 353-9577
Enumeration date Sep 28, 2006
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities Secondary
385HR2060X Child Intellectual and/or Developmental Disabilities Respite Care Respite Care Facility Primary

Authorized official

Name Jessica Blakely
Title Chief Executive Officer
Phone (419) 353-9577

Other identifiers

Identifier Type State Issuer
36G261 Medicaid OH -
36G260 Medicaid OH -
36G381 Medicaid OH -
2585751 Medicaid OH -
36G344 Medicaid OH -
36G475 Medicaid OH -
36G087 Medicaid OH -
36G345 Medicaid OH -
36G474 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Wood Lane Residential Services, Inc.?
NPPES lists Jessica Blakely (Chief Executive Officer) as the authorized official for this organization.
What is the NPI number for Wood Lane Residential Services, Inc.?
The NPI for Wood Lane Residential Services, Inc. is 1215029525, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.