Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison Village Manor

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1972786705

Madison Village Manor is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Madison, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007

Practice location Address checks out

148 E Main St
Madison, OH 44057-3226
Phone: (440) 428-6969
Fax: (440) 428-6360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence 2675 (OH)

Record details

NPI number1972786705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Serra — Administrator · (440) 428-6969
NPI enumeratedDecember 15, 2007
Last updated in NPPESJune 19, 2008
Mailing address148 E Main St, Madison, OH 44057-3226

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