The Village of St. Edward at Green

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE VILLAGE OF ST. EDWARD AT GREEN

Practice address

3813 Fortuna Dr
Akron, OH 44312-5476

Phone

(234) 294-0010

NPI assigned

Dec 10, 2020

Organization subpart

No

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

Authorized official

Name

Danielle Marie Maur

Title

VP of Operations/ Coo

Phone

(234) 466-5210

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1346846664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 SMITH RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332613",
            "telephone_number": "234-466-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3813 FORTUNA DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125476",
            "telephone_number": "234-294-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE OF ST. EDWARD AT GREEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "MAUR",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "VP OF OPERATIONS/ COO",
        "authorized_official_telephone_number": "234-466-5210"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Tamarkin Company
• The University of Akron
• The University of Akron
• The University of Akron
• The University of Akron
• The Wow Crowd, LLC
• The Young Men'S Christian Association of Akron, Ohio
• Danielle Theaker
• Jennifer A Theis, PA
• Darlene Theodus, RDH

• Assisted Living Facility in Akron, OH
• Providers in Akron, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.