Organization Active NPI

Marway L.a.S., Inc.

  • In Home Supportive Care Agency
  • Mentor, OH
National Provider Identifier
1790319663
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MARWAY L.A.S., INC.
Doing business as
Visiting Angels of NE Ohio
Practice address
8451 Mentor Ave Ste 1
Mentor, OH 44060-5839
Phone
(440) 974-0869
Fax
(866) 257-1675
NPI assigned
Feb 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Authorized official

Name
Wayne M Brodnan
Title
President
Phone
(440) 974-0869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

8451 Mentor Ave Ste 1
Mentor, OH 44060-5839

Mailing address

8451 Mentor Ave Ste 1
Mentor, OH 44060-5839
Phone (440) 974-0869

Other names 1

  • Visiting Angels of NE Ohio Doing business as

National Provider Directory

National Provider Directory

Locations

8451 Mentor Ave
Ste 1
Mentor, OH 44060
Phone (440) 974-0869

NPI Registry JSON

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1790319663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8451 MENTOR AVE STE 1",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605839",
            "telephone_number": "440-974-0869",
            "fax_number": "866-257-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8451 MENTOR AVE STE 1",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605839",
            "telephone_number": "440-974-0869",
            "fax_number": "866-257-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARWAY L.A.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-28",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "BRODNAN",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-974-0869"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels of NE Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.