Magnolia Village Retirement Community, LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAGNOLIA VILLAGE RETIREMENT COMMUNITY, LTD

Doing business as

Magnolia Villiage Skilled Nursing and Rehabilitation

Practice address

365 Johnson Rd
Wadsworth, OH 44281-8609

Phone

(330) 335-1558

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Michael J Francus

Title

Pres., VRC, Inc Manager

Phone

(330) 929-0009

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Magnolia Villiage Skilled Nursing and Rehabilitation Doing business as

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1659327708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 JOHNSON RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818609",
            "telephone_number": "330-335-1558",
            "fax_number": "330-335-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 JOHNSON RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818609",
            "telephone_number": "330-335-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA VILLAGE RETIREMENT COMMUNITY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "FRANCUS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRES., VRC, INC MANAGER",
        "authorized_official_telephone_number": "330-929-0009"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2601303",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Villiage Skilled Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna L Los, M.S.
• Lindsey Lovsey, LMT
• LTC Supply Corporation
• Marianne Madden, R.N.
• Diane Melynne Magas
• Neeraj Mahajan, MD
• Amy Mancini, IMFT
• Bruce L Manning, O.D.
• Mark S. Brigham, DO, Inc.
• Kevin D Markowski, M.D.

• Skilled Nursing Facility in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.