1. Home
  2. Directory
  3. Ohio
  4. Madison
  5. Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

MADISON VILLAGE MANOR
NPI 1972786705
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Madison, OH

Active since December 15, 2007
148 E MAIN ST, MADISON, OH 44057(440) 428-6969(440) 428-6360 Get Directions Write a Review

NPPES record last updated: June 19, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Madison Village Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON VILLAGE MANOR (NPI 1972786705) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Madison, Ohio and active in the NPI registry since December 2007. The organization lists Anthony Michael Serra, Administrator, as its authorized official.

NPPES Registry Identity

NPI1972786705
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameMADISON VILLAGE MANOR
Location Address148 E MAIN STMadison, OH 44057-3226
Mailing Address148 E Main StMadison, OH 44057-3226 · (440) 428-6969 · Fax (440) 428-6360
Phone(440) 428-6969
Fax(440) 428-6360
Organization SubpartNo
Authorized OfficialAnthony Michael SerraAdministrator · (440) 428-6969
Enumeration DateDecember 15, 2007
Last NPPES UpdateJune 19, 2008
✔ NPI 1972786705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in OH · 2675
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
148 E MAIN ST, Madison, OH 44057
Open in Google Maps ↗

Other Identifiers 1

Medicaid0345442OH

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Village Manor's NPI number?

The NPI number for Madison Village Manor is 1972786705. It was assigned to this organization in the NPPES registry on December 15, 2007.

Where is Madison Village Manor located?

Madison Village Manor is located at 148 E Main St, Madison, OH 44057. The listed phone number is (440) 428-6969.

What is Madison Village Manor's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Madison Village Manor was last updated on June 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.