Orrvilla, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2408R Issued in OH

Legal business name

ORRVILLA, INC.

Practice address

333 E Sassafras St
Orrville, OH 44667-2250

Phone

(330) 683-4455

Fax

(330) 683-7375

NPI assigned

Sep 2, 2015

Organization subpart

No

Name

Mr. Glenda Stroud, RN

Title

Resident Services Manager

Phone

(330) 683-4455

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

CLIA laboratory certificates

• OrrVilla Maple Terrace Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 2, 2015.

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1588032965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E SASSAFRAS ST",
            "city": "ORRVILLE",
            "state": "OH",
            "postal_code": "446672250",
            "telephone_number": "330-683-4455",
            "fax_number": "330-683-7375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E SASSAFRAS ST",
            "city": "ORRVILLE",
            "state": "OH",
            "postal_code": "446672250",
            "telephone_number": "330-683-4455",
            "fax_number": "330-683-7375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORRVILLA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "STROUD",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "RESIDENT SERVICES MANAGER",
        "authorized_official_telephone_number": "330-683-4455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2408R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrrVilla Maple Terrace",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.