Manor at Autumn Hills Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1847R Issued in OH

Legal business name

MANOR AT AUTUMN HILLS INC

Doing business as

The Manor at Autumn Hills

Practice address

2567 Niles Vienna Rd
Niles, OH 44446-5401

Phone

(330) 652-6745

Fax

(330) 652-8743

NPI assigned

Jul 14, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Joseph J Vince

Title

Cfo

Phone

(330) 652-6745

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Manor at Autumn Hills Doing business as

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1871757419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2567 NILES VIENNA RD",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444465401",
            "telephone_number": "330-652-6745",
            "fax_number": "330-652-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2567 NILES VIENNA RD",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444465401",
            "telephone_number": "330-652-6745",
            "fax_number": "330-652-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR AT AUTUMN HILLS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "VINCE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-652-6745",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "1847R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODH LICENSE",
            "identifier": "1847R",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Manor at Autumn Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Niles, OH
• Providers in Niles, 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 Aug 26, 2013; 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.