ABBEYVILLE HOUSE — NPI 1235129586 (Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded in VALLEY CITY, OH)

CMS-1500 Box 24J / 33a • NPI

1235129586

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

315P00000X (CMS A2[9])

Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded

Box 32 Service Location & ZIP+4

2525 ABBEYVILLE RD, VALLEY CITY, OH, 44280-9734

✓ 9-Digit EDI 837 ZIP+4 (44280-9734)

Practice Phone & Referral Fax

(330) 273-5494

Fax: (330) 273-6199

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1235129586 (ABBEYVILLE HOUSE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1235129586` (NPI-2 Organization / Facility)
Provider / Legal Name	ABBEYVILLE HOUSE
Plain-English Specialty	Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded NUCC Code: `315P00000X` (Intermediate Care Facility, Intellectual Disabilities)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2525 ABBEYVILLE RD, VALLEY CITY, OH, 44280-9734
Practice Telephone / Fax	Tel: (330) 273-5494 \| Fax: (330) 273-6199
Administrative Mailing Address	791 PEARL RD, BRUNSWICK, OH, 44212-2528
Enumeration & Last Sync	Enumerated: 2005-10-27 \| CMS Record Updated: 2007-07-12
Authorized Official	DENISE POZDERAC (Administrator President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2525 ABBEYVILLE RD, VALLEY CITY, OH, 44280-9734

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Plain-English Taxonomy & CMS Crosswalk (315P00000X)

What Does Taxonomy Code 315P00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 315P00000X translates to:
"Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A2[9] (Intermediate Care Nursing Facility)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Intermediate Care Facility, Intellectual Disabilities for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ABBEYVILLE HOUSE)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`315P00000X` — Intermediate Care Facility, Intellectual Disabilities Plain English: Licensed & Credentialed Nursing & Custodial Care Facilities — Intermediate Care Facility, Mentally Retarded	State: OH \| License: `5210186` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ABBEYVILLE HOUSE (NPI #1235129586)