Centreville Village of Carroll County

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CENTREVILLE VILLAGE OF CARROLL COUNTY

Practice address

1082 Kensington Rd NE
Carrollton, OH 44615-9403

Phone

(330) 627-7070

Fax

(330) 627-6209

NPI assigned

Apr 26, 2019

Organization subpart

No

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

Authorized official

Name

Laura Hanna, CEAL

Title

Administrator

Phone

(330) 627-7070

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1285298166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1082 KENSINGTON RD NE",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446159403",
            "telephone_number": "330-627-7070",
            "fax_number": "330-627-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1082 KENSINGTON RD NE",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446159403",
            "telephone_number": "330-627-7070",
            "fax_number": "330-627-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTREVILLE VILLAGE OF CARROLL COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-627-7070",
        "authorized_official_credential": "CEAL"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carroll County Visiting Nurse Assoc and Home Health Agency
• Carroll Hills Industries, Inc.
• Carrollton Chiropractic Center Inc
• Carrollton Exempted Village School District
• Reva Castelucci
• Erick C Chamblee, DDS
• Gary Wayne Clark, D.O.
• Kimberly L Clark
• Cleveland Clinic Mercy Hospital
• Cleveland Clinic Mercy Hospital

• All providers in Carrollton, OH
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; 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.