The Village of St. Edward at Wadsworth

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE VILLAGE OF ST. EDWARD AT WADSWORTH

Practice address

880 Main St
Wadsworth, OH 44281-1583

Phone

(234) 217-8735

NPI assigned

Dec 10, 2020

Last updated

Dec 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danielle Marie Maur

Title

Chief Operating Officer

Phone

(234) 466-5210

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1629674940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 SMITH RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332613",
            "telephone_number": "234-466-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 MAIN ST",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811583",
            "telephone_number": "234-217-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE OF ST. EDWARD AT WADSWORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "MAUR",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "234-466-5210"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "624531137",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• The Wadsworth-Rittman Area Hospital Association (Summa Wadsworth-Rittman Hospital)
• Cheryl L Thomas, PH.D.
• Erin Thompson

• Assisted Living Facility in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.