Organization Active NPI

Grand Manner, Inc

Doing business as Walton House

  • Intellectual Disabilities Intermediate Care Facility
  • Walton Hills, OH
National Provider Identifier
1336785583
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
GRAND MANNER, INC
Doing business as
Walton House
Practice address
14700 Alexander Rd
Walton Hills, OH 44146-4925
Phone
(440) 428-9082
NPI assigned
Nov 22, 2019
Last updated
Nov 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Authorized official

Name
Gary Toth
Title
Chairman of the Board
Phone
(440) 428-9082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

14700 Alexander Rd
Walton Hills, OH 44146-4925

Mailing address

PO Box 40
Madison, OH 44057-0040
Phone (440) 644-0142

Other names 1

  • Walton House Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grand Manner Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

14700 Alexander Rd
Walton Hills, OH 44146
Phone (440) 428-9082

NPI Registry JSON

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1336785583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440570040",
            "telephone_number": "440-644-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 ALEXANDER RD",
            "city": "WALTON HILLS",
            "state": "OH",
            "postal_code": "441464925",
            "telephone_number": "440-428-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND MANNER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "TOTH",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
        "authorized_official_telephone_number": "440-428-9082"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walton House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walton Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.