MADISON VILLAGE MANOR, INC


Address: 731 N Lake St, Madison, OH 44057-3152
Phone: 4404281519

MADISON VILLAGE MANOR, INC (NPI# 1154504983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154504983
Entity Type Organization
Organization Name MADISON VILLAGE MANOR, INC
Other Organization Name THE GABLES
Practice Address 731 N Lake St
Madison
OH 44057-3152
Mailing Address Po Box 272
731 Lake Street
Madison
OH 44057-0272
Practice Telephone 4404281519
Practice Fax Number 4404286360
Mailing Telephone 4404281519
Mailing Fax Number 4404286360
Enumeration Date 2007-12-15
Last Update Date 2007-12-15
Authorized Official Name MR. ANTHONY MICHAEL SERRA (ADMINISTRATOR)
Authorized Official Telephone 4404281519
Authorized Official Credential NHA
Is Organization Subpart Y
Parent Organization Name MADISON VILLAGE MANOR, INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4310178 OH Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OH 1724665 05

Other Provider/Organization Names

Other Name Type Code
The Gables Doing Business As Name - Organization

Office Location

Street Address 731 N LAKE ST
City MADISON
State OH
Zip Code 44057-3152

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376028332 Charlotte F Kister Assisted Living Facility 2358 Hubbard Road, Madison, OH 44057 2018-09-26
1861862336 Living Opportunities, Inc. Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 6873 Dave Drive, Madison, OH 44057 2015-09-28
1548526650 Jessica Cook Family Medicine 6270 North Ridge Rd, Madison, OH 44057 2012-04-03
1164651428 Dr. Edward S. Friedman, Optometrist Inc. Optometrist 6067 North Ridge Rd., Madison, OH 44057 2009-07-08
1023259546 Northern Dental Specialists, Dr. Steven W Gajda Dentist 2040 Hubbard Road, Madison, OH 44057 2009-03-12
1295908267 Nathan Tekavec Physical Therapist 2583 Walter Green Commons, Madison, OH 44057 2008-04-10
1124228556 Alan B Spiegel Pediatrics 6270 N. Ridge Road, Lake Health Physician Group Madison Pediatrics, Madison, OH 44057 2007-07-24
1083828149 Mary Kathleen Tascone Registered Nurse 6205 Campbell Dr, Madison, OH 44057 2007-05-09
1801016043 Donna Marie Jones Home Health Aide 6082 N Ridge Rd, Madison, OH 44057 2007-04-30
1356466445 Kist Family Chiropractic & Wellness Centre Inc. Chiropractor 2711 Hubbard Rd, Madison, OH 44057 2007-03-20
Find all providers in zip 44057

Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801256755 Alpha & Omega Home/healthcare Services, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 401 W Old Hickory Blvd, Madison, TN 37115-3609 2016-03-03
1932328572 Grand Manner, Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1954 Hubbard Rd, Madison, OH 44057-2154 2007-04-24
1356484315 Living Opportunities Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3142 County Line Rd, Madison, OH 44057-9705 2007-02-15
1972786705 Madison Village Manor Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 148 E Main St, Madison, OH 44057-3226 2007-12-15
1588703078 State of Wisconsin Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 317 Knutson Dr, Madison, WI 53704-1133 2007-02-05
1386705655 State of Wisconsin Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 317 Knutson Dr, Madison, WI 53704-1133 2006-12-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1467053801 Vip of Ohio, LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2446 Audubon Rd, Akron, OH 44320-1010 2020-11-03
1871190280 Gateways To Better Living Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6000 Mahoning Ave Ste 234, Youngstown, OH 44515-2225 2020-10-08
1235746264 Cheryl L Nelson Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 21891 Ringgold Southern Rd, Circleville, OH 43113-9263 2020-09-24
1164039244 Amberdawn E Kenworthy-byers Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3746 Hickory Ln, Greenville, OH 45331-3014 2020-09-23
1467067124 Forever Care LLC Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 5240 Northtowne Blvd Apt C, Columbus, OH 43229-4661 2020-09-10
1174177737 Alive Now Services Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6717 Amsel Ave Ne, Canton, OH 44721-2606 2019-07-31
1154846095 Anitra L Richardson Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 3321 Hackberry St, Cincinnati, OH 45207-1701 2017-08-11
1811447519 Royal Queens Care Agency Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 6625 Retton Rd, Reynoldsburg, OH 43068-2849 2016-10-06
1962958512 Individual Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 1111 Gonder Av Se, Canton, OH 44707 2016-09-01
1700238391 Rose-mary, The Johanna Grasselli Rehabilitation and Education Center Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 4383 Ammon Rd, Cleveland, OH 44143-2803 2016-07-07
Find all providers with the same taxonomy

Competitor

Search similar providers

City MADISON
Zip Code 44057

Improve Information

Please comment or provide details below to improve the information on MADISON VILLAGE MANOR, INC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches