Madison Village Manor, Inc in Madison - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Madison Village Manor, Inc - NPI 1154504983
Madison Village Manor, Inc is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Madison, Ohio. Madison Village Manor, Inc practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Madison Village Manor, Inc is 1154504983. The last update date is 2007-12-15.
Madison Village Manor, Inc's current location address is Po Box 272, Madison, Ohio. You can contact this provider via phone number 4404281519 and fax number 4404286360. The mailing address for Madison Village Manor, Inc is Po Box 272, Madison, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Madison Village Manor, Inc |
|---|---|
| Address | Po Box 272, Madison, Ohio |
| Phone Number | 4404281519 |
| Fax Number | 4404286360 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Serra Michael Anthony |
| Credentials | NHA |
| Telephone Number | 4404281519 |
NPI Number Detail
| NPI Number | 1154504983 |
|---|---|
| Provider Enumeration Date | 2007-12-15 |
| Last Updated Date | 2007-12-15 |
Provider Mailing Address Detail
| Address | Po Box 272 |
|---|---|
| City | Madison |
| State | Ohio (OH) |
| Post Code | 440570272 |
| Phone Number | 4404281519 |
| Fax Number | 4404286360 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 4310178 |
|
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 |
|---|---|---|---|
| 1724665 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Madison Village Manor, Inc?
The Madison Village Manor, Inc has been issued the NPI (National Provider Identifier) 1154504983 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Madison Village Manor, Inc's physical address?
The Madison Village Manor, Inc is physically located at Po Box 272, in the city of Madison, OH, with the postal code 440570272.
What is Madison Village Manor, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Madison Village Manor, Inc's area of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154504983 to Madison Village Manor, Inc?
The Centers for Medicare & Medicaid Services assigned the 1154504983 to Madison Village Manor, Inc on 2007-12-15.
When was the information regarding Madison Village Manor, Inc most recently updated?
The details pertaining to the Madison Village Manor, Inc, including its address, specialty, and other relevant information, were last refreshed on 2007-12-15.