South Vienna Group Homes, Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

SOUTH VIENNA GROUP HOMES, INC.

Practice address

125 East National Road
South Vienna, OH 45369-9742

Phone

(937) 568-4342

Fax

(937) 568-4265

NPI assigned

May 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Colleran

Title

President

Phone

(440) 614-0160

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Vienna Meadows Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 36G630

Legal name

VIENNA MEADOWS

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jun 25, 2007

Last certification

Oct 29, 2025

Beds

20

Ownership / control type

Private (proprietary)

Facility address

125 East National Road
South Vienna, OH 45369

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1104038637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22021 BROOKPARK RD",
            "address_2": "STE 123",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263100",
            "telephone_number": "440-614-0160",
            "fax_number": "440-614-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EAST NATIONAL ROAD",
            "city": "SOUTH VIENNA",
            "state": "OH",
            "postal_code": "453699742",
            "telephone_number": "937-568-4342",
            "fax_number": "937-568-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VIENNA GROUP HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "COLLERAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-614-0160"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2743615",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vienna Meadows",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joann M Rowland, RN
• Shahida a Khan MD
• Shirley Dee Shoup
• South Vienna Family Dental
• South Vienna Family Dental, Irfan Khan DDS, LLC
• Hayley Suchland
• Kristen M Thompson, OD
• Tuttle Home Health Care
• Vienna Care Center, Inc.
• Vienna Enterprises Inc

• Intellectual Disabilities Intermediate Care Facility in South Vienna, OH
• Providers in South Vienna, OH by specialty
• Intellectual Disabilities Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.