Organization Active NPI

Central Village LTD. Co.

  • Assisted Living Facility
  • Amherst, OH
National Provider Identifier
1417529686
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CENTRAL VILLAGE LTD. CO.
Practice address
474 Church St
Amherst, OH 44001-2206
Phone
(440) 984-6999
Fax
(866) 229-7534
NPI assigned
Jul 15, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Kenneth A Malanowski
Title
President
Phone
(440) 989-5200

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2170578Central Village LTD474 Church St, Amherst, OH 44001Certificate of waiverMar 11, 2028

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

NPPES NPI Registry

Primary practice location

474 Church St
Amherst, OH 44001-2206

Mailing address

3905 Oberlin Ave
Lorain, OH 44053-2853
Phone (440) 989-5200

Other names 1

NPPES NPI Registry
  • THE 1907 AT CENTRAL SCHOOL Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2021.

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1417529686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 OBERLIN AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440532853",
            "telephone_number": "440-989-5200",
            "fax_number": "866-229-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 CHURCH ST",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440012206",
            "telephone_number": "440-984-6999",
            "fax_number": "866-229-7534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VILLAGE LTD. CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "MALANOWSKI",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-989-5200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE 1907 AT CENTRAL SCHOOL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amherst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.