Organization Active NPI

Fairview Meadows Care Center, Inc.

  • Assisted Living Facility (Mental Illness)
  • Millersburg, OH
National Provider Identifier
1437403508
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
2282AGH Issued in OH
Legal business name
FAIRVIEW MEADOWS CARE CENTER, INC.
Practice address
512 W Jackson St
Millersburg, OH 44654-8400
Phone
(330) 763-2111
NPI assigned
Oct 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Authorized official

Name
Michael J. Bunner
Title
President
Phone
(419) 529-7272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 2282AGH OH Primary

Addresses

Primary practice location

512 W Jackson St
Millersburg, OH 44654-8400

Mailing address

70 Park Ave W
Mansfield, OH 44902-1624

National Provider Directory

National Provider Directory

Locations

512 W Jackson St
Millersburg, OH 44654
Phone (330) 674-0015

NPI Registry JSON

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1437403508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PARK AVE W",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449021624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W JACKSON ST",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446548400",
            "telephone_number": "330-763-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW MEADOWS CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "BUNNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-529-7272"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "OH",
            "license": "2282AGH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.