Madison Village Manor in Madison - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Madison Village Manor - NPI 1972786705
Madison Village Manor is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Madison, Ohio. Madison Village Manor practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Madison Village Manor is 1972786705. The last update date is 2008-06-19.
Madison Village Manor's current location address is 148 E Main St, Madison, Ohio. You can contact this provider via phone number 4404286969 and fax number 4404286360. The mailing address for Madison Village Manor is 148 E Main St, Madison, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Madison Village Manor |
|---|---|
| Address | 148 E Main St, Madison, Ohio |
| Phone Number | 4404286969 |
| Fax Number | 4404286360 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Serra Michael Anthony |
| Credentials | NHA |
| Telephone Number | 4404286969 |
NPI Number Detail
| NPI Number | 1972786705 |
|---|---|
| Provider Enumeration Date | 2007-12-15 |
| Last Updated Date | 2008-06-19 |
Provider Mailing Address Detail
| Address | 148 E Main St |
|---|---|
| City | Madison |
| State | Ohio (OH) |
| Post Code | 440573226 |
| Phone Number | 4404286969 |
| Fax Number | 4404286360 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 2675 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 345442 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Madison Village Manor by the Centers for Medicare & Medicaid Services?
The Madison Village Manor has been issued the NPI (National Provider Identifier) 1972786705 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Madison Village Manor?
The Madison Village Manor is physically situated at 148 E Main St, in the city of Madison, state of OH, with the postal code 440573226.
What is the area of specialization for Madison Village Manor, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Madison Village Manor is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 320600000X.
When did Madison Village Manor receive its 1972786705 assignment?
The Madison Village Manor was assigned its 1972786705 on 2007-12-15, which is the date when this unique identifier was issued to the organization.
When was the information related to Madison Village Manor most recently updated or refreshed?
The details pertaining to the Madison Village Manor, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-19.
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