Broadfield Manor Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0268 Issued in OH

Legal business name

BROADFIELD MANOR INC.

Practice address

7927 Middle Ridge Rd
Madison, OH 44057-3023

Phone

(440) 466-3702

Fax

(440) 466-7287

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Paul Juris Barbins

Title

Administrator

Phone

(440) 466-3702

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Broadfield Manor Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Broadfield Manor Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Madison, OH
  • NPI 1962526798
  NPD tax ID

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1154463412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7927 MIDDLE RIDGE RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440573023",
            "telephone_number": "440-466-3702",
            "fax_number": "440-466-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7927 MIDDLE RIDGE RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440573023",
            "telephone_number": "440-466-3702",
            "fax_number": "440-466-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADFIELD MANOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "BARBINS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JURIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-466-3702",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "0268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0999755",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Blake, LPC
• Kristen Diane Blevins, R.N.
• Ann M Breech, PHARMD
• Katrina Marie Brill
• Brittany Residential Inc
• Broadfield Manor Inc.
• Broadfield Services
• Broadfield Services, Inc.
• Beth Anne Brown
• Rebecca Buchanan

• All providers in Madison, OH
• Nursing Facility/Intermediate Care Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.