Medina Village Retirement Community, LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MEDINA VILLAGE RETIREMENT COMMUNITY, LTD

Practice address

555 Springbrook Dr
Medina, OH 44256-3651

Phone

(330) 725-3393

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Francus

Title

Pres., VRC, Inc Manager

Phone

(330) 929-0009

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medina Village Skilled Nursing and Rehabilitation Doing business as

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1962459024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SPRINGBROOK DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563651",
            "telephone_number": "330-725-3398",
            "fax_number": "330-350-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SPRINGBROOK DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563651",
            "telephone_number": "330-725-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA VILLAGE RETIREMENT COMMUNITY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2601312",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medina Village Skilled Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Medina, OH
• Providers in Medina, 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.