Brittany Residential Inc
Organization Active NPI Custodial Care Facility · Madison, OH
NPI 1508925538 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1508925538
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Custodial Care Facility 311Z00000X
- Legal business name
- BRITTANY RESIDENTIAL INC
- Practice address
- 3100 Arcola Road
Madison, OH 44057-3035 - Phone
- (440) 428-6648
- Fax
- (440) 428-4696
- NPI assigned
- Dec 6, 2006
- Organization subpart
- No
Authorized official
- Name
- J Jay Fabian
- Title
- Administrator
- Phone
- (440) 428-6648
National Provider Directory
Locations
3100 Arcola Rd
Madison, OH 44057
Phone (440) 428-6648
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | Yes |
Addresses
Primary practice location
3100 Arcola Road
Madison, OH 44057-3035
Mailing address
3100 Arcola Road
Madison, OH 44057-3035
Phone (440) 428-6648
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0949791 | Medicaid | OH |
Other providers in Madison, OH
- Jerry C Bell
- Stephanie Blake
- Kristen Diane Blevins
- Ann M Breech
- Katrina Marie Brill
- Broadfield Manor Inc.
- Broadfield Manor Inc.
- Broadfield Services
- Broadfield Services, Inc.
- Beth Anne Brown
All providers in Madison, OH · Custodial Care Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.