OrganizationActive
Wood Lane Residential Services, Inc.
NPI 1215029525 · Child Intellectual and/or Developmental Disabilities Respite Care · Portage, OH
Provider details
- NPI number
- 1215029525
- Entity type
- Organization
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Jessica Blakely, Chief Executive Officer(419) 353-9577
Specialties & taxonomies
Respite Care Facility
Residential Treatment Facilities
Profile Score
Detailed profile(99/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
349 W Main St.
Portage, OH 43451
Phone: (419) 353-9577
Street-level locationGet directions
Mailing address
545 Pearl St
Bowling Green, OH 43402-2731
Additional practice locations (2)
- 1009 Klotz RdBowling Green, OH 43402-4820Phone: (419) 353-9577
- 1005 Klotz RdBowling Green, OH 43402-4820Phone: (419) 353-9577
Registry dates
- Enumerated
- 2006-09-28
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.