Meadow Falls Madison Opco LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MEADOW FALLS MADISON OPCO LLC

Doing business as

Lantern of Madison

Practice address

2041 Hubbard Rd
Madison, OH 44057-2565

Phone

(440) 428-2664

NPI assigned

Nov 14, 2024

Organization subpart

No

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

Authorized official

Name

Avi Lustig

Title

President

Phone

(440) 428-2664

Specialties & licenses 1

Addresses

Other names 1

• Lantern of Madison Doing business as

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1740004746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 HUBBARD RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440572565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 HUBBARD RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440572565",
            "telephone_number": "440-428-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW FALLS MADISON OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "LUSTIG",
        "authorized_official_first_name": "AVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-428-2664"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lantern of Madison",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cindy L Marion, LPN
• Marla Hope Martello, MA, LPC
• Mary Faith Marvin, RN
• Jennifer Elain Maslanik, LPN
• Mark William McHugh, D.D.S.
• Meridia Medical Group LLC
• Meridia Medical Group, LLC
• Manoochehr Meshginpoosh, M.D.
• Michael D Eppig MD
• Katthleen Middleton, PTA

• Assisted Living Facility in Madison, OH
• Providers in Madison, 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 Nov 14, 2024; 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.