VICTORIA HOUSE SENIOR LIVING CENTER LLC (NPI# 1770601833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770601833 |
Entity Type | Organization |
Organization Name | VICTORIA HOUSE SENIOR LIVING CENTER LLC |
Practice Address |
5295 Ashley Cir Youngstown OH 44515-1160 |
Practice Telephone | 3307991711 |
Mailing Telephone | 3307991711 |
Enumeration Date | 2007-03-27 |
Last Update Date | 2013-08-26 |
Authorized Official Name | JOSEPH J VINCE (CFO) |
Authorized Official Telephone | 3307991711 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 310400000X | Assisted Living Facility | 2440R | OH | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | MEDICAID ASSISTED LIVING WAIVER | 167538098 | 01 |
Street Address |
5295 ASHLEY CIR |
City | YOUNGSTOWN |
State | OH |
Zip Code | 44515-1160 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811505423 | Kelly Lynn Gargas | Registered Nurse | 1051 N Canfiled Niles Rd, Austintown, OH 44515 | 2020-07-20 |
1184241648 | Tashandi Magnus | Counselor | 45 N. Canfield Niles Rd., Austintown, OH 44515 | 2020-07-01 |
1255829925 | Edward M Vancise | Counselor | 2902 Penny Lane, Austintown, OH 44515 | 2018-04-27 |
1932627940 | Erin Michelle Rodgers | Occupational Therapist | 331 N. Yorkshire Blvd., Austintown, OH 44515 | 2017-08-30 |
1598281180 | Kathryn Elizabeth Pontius | Home Health | 209 North Yorkshire Blvd, Austintown, OH 44515 | 2017-08-16 |
1508387515 | Ashley Bryant | Registered Nurse | 1355 Maplecrest Dr, Youngstown, OH 44515 | 2017-06-29 |
1306384706 | Joyce Owens | Behavior Technician | 238 S. Meridian Rd., Austintown, OH 44515 | 2017-02-06 |
1982057493 | Renee K Morgan | Social Worker | 5204 Mahoning Ave Ste 105, Austintown, OH 44515 | 2016-07-20 |
1609266808 | Regina Leigh Cowell | Physical Therapist | 1450 South Canfield-niles Rd., Youngstown, OH 44515 | 2015-01-27 |
1942624507 | Susan Hogan | Speech-Language Pathologist | 245 Idaho Road Lynn Kirk Loop, Youngstown, OH 44515 | 2014-02-18 |
Find all providers in zip 44515 |
Taxonomy Code | 310400000X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Assisted Living Facility |
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982203378 | Anna Robinson | Assisted Living Facility | 626 W Judson Ave, Youngstown, OH 44511-3256 | 2020-10-18 |
1710129887 | Brookdale Senior Living Communities Inc | Assisted Living Facility | 2300 Canfield Rd, Youngstown, OH 44511-2980 | 2009-04-03 |
1275739450 | Omni Manor, Inc. | Assisted Living Facility | 1353 Churchill Hubbard Rd, Youngstown, OH 44505-1380 | 2007-06-25 |
1205049160 | Omni Manor, Inc. | Assisted Living Facility | 3259 Vestal Rd, Youngstown, OH 44509-1062 | 2007-05-08 |
1255459434 | Schenley Management Inc. | Assisted Living Facility | 3150 S Schenley Ave, Youngstown, OH 44511-2862 | 2007-03-27 |
1356468946 | Levy Gardens | Assisted Living Facility | 584 Granada Ave, Youngstown, OH 44505-2422 | 2007-03-26 |
1851335145 | Sateri Home Inc & Subsidiaries | Assisted Living Facility | 960 Boardman Canfield Rd, Youngstown, OH 44512-4220 | 2006-06-16 |
1053308577 | Edj LLC | Assisted Living Facility | 461 S Canfield Niles Rd, Youngstown, OH 44515-4022 | 2005-09-30 |
1952965428 | Ohio Living Communities | Assisted Living Facility | 1216 5th Ave, Youngstown, OH 44504-1605 | 2019-04-30 |
1710486014 | S Meridian Leasing Co., LLC | Assisted Living Facility | 650 S Meridian Rd, Youngstown, OH 44509-2932 | 2018-02-02 |
Find all providers in YOUNGSTOWN |
City | YOUNGSTOWN |
Zip Code | 44515 |
Please comment or provide details below to improve the information on VICTORIA HOUSE SENIOR LIVING CENTER LLC.
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.