NPIMap

Organization Active NPI

The Village Network Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Boardman, OH
National Provider Identifier
1134540503
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
S.0500644 Issued in OH
Legal business name
THE VILLAGE NETWORK INC.
Practice address
5500 Market St Ste 106
Boardman, OH 44512-2616
Phone
(330) 788-1155
Fax
(330) 788-1467
NPI assigned
Jan 2, 2014
Organization subpart
Yes
Parent organization
THE VILLAGE NETWORK INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Authorized official

Name
Mr. Charles Eric Baldwin, MS, MSW, LSW
Title
Program Director
Phone
(330) 788-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X S.0500644 OH Primary

Addresses

Primary practice location

5500 Market St Ste 106
Boardman, OH 44512-2616

Mailing address

5500 Market St Ste 106
Boardman, OH 44512-2616
Phone (330) 788-1155

Other names 1

  • The Vllage Network Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Village Network Inc17 organizations share this tax ID, including this one
Part of
The Village Network Inc

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1134540503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARKET ST STE 106",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445122616",
            "telephone_number": "330-788-1155",
            "fax_number": "330-788-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MARKET ST STE 106",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445122616",
            "telephone_number": "330-788-1155",
            "fax_number": "330-788-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE NETWORK INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE VILLAGE NETWORK INC.",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "330-788-1155",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, MSW, LSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OH",
            "license": "S.0500644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vllage Network Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.