Organization Active NPI

Ontario Commons

  • Assisted Living Facility
  • Mansfield, OH
National Provider Identifier
1356597835
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
2165R Issued in OH
Legal business name
ONTARIO COMMONS
Practice address
2124 Park Ave W
Mansfield, OH 44906-3807
Phone
(419) 529-6447
Fax
(419) 529-2108
NPI assigned
Aug 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Katie Marie Branca
Title
Accounts Payable
Phone
(419) 529-6447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 2165R OH Primary

Addresses

Primary practice location

2124 Park Ave W
Mansfield, OH 44906-3807

Mailing address

2124 Park Ave W
Mansfield, OH 44906-3807
Phone (419) 529-6447

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1356597835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 PARK AVE W",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063807",
            "telephone_number": "419-529-6447",
            "fax_number": "419-529-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 PARK AVE W",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449063807",
            "telephone_number": "419-529-6447",
            "fax_number": "419-529-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONTARIO COMMONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "BRANCA",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ACCOUNTS PAYABLE",
        "authorized_official_telephone_number": "419-529-6447"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2165R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.