Active NPI
Central Village LTD. Co.
- Assisted Living Facility
- Amherst, OH
National Provider Identifier
1417529686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2170578 | Central Village LTD | Certificate of waiver | Mar 11, 2028 |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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.