NPIMap

Organization Active NPI

FHS Bennington, Inc.

Doing business as Villas at Bennington Glen

  • Assisted Living Facility
  • Marengo, OH
National Provider Identifier
1316764699
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FHS BENNINGTON, INC.
Doing business as
Villas at Bennington Glen
Practice address
825 State Route 61
Marengo, OH 43334-9215
Phone
(440) 793-2245
Fax
(440) 614-0168
NPI assigned
Sep 26, 2024
Last updated
Sep 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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) 343-2053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

825 State Route 61
Marengo, OH 43334-9215

Mailing address

825 State Route 61
Marengo, OH 43334-9215
Phone (440) 793-2245

Other names 1

  • VILLAS AT BENNINGTON GLEN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bennington Glen Nursing and Rehabilitation2 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.

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1316764699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 STATE ROUTE 61",
            "city": "MARENGO",
            "state": "OH",
            "postal_code": "433349215",
            "telephone_number": "440-793-2245",
            "fax_number": "440-614-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 STATE ROUTE 61",
            "city": "MARENGO",
            "state": "OH",
            "postal_code": "433349215",
            "telephone_number": "440-793-2245",
            "fax_number": "440-614-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FHS BENNINGTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "COLLERAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-343-2053"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLAS AT BENNINGTON GLEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marengo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.