MV Seville SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MV SEVILLE SNF LLC

Practice address

83 High St
Seville, OH 44273-9308

Phone

(330) 769-2015

Fax

(330) 769-1847

NPI assigned

Nov 20, 2018

Last updated

Jan 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Prentiss E Smith III, AUTHORIZED OFFICIAL

Title

President

Phone

(251) 583-3972

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1235608290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 VALLEY DR",
            "city": "ATTALLA",
            "state": "AL",
            "postal_code": "359541025",
            "telephone_number": "251-583-3972",
            "fax_number": "330-595-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HIGH ST",
            "city": "SEVILLE",
            "state": "OH",
            "postal_code": "442739308",
            "telephone_number": "330-769-2015",
            "fax_number": "330-769-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MV SEVILLE SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PRENTISS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-583-3972",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "AUTHORIZED OFFICIAL"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Seville, OH
• Providers in Seville, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.