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

Madison Village Manor, Inc

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1154504983

Madison Village Manor, Inc 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
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

731 N Lake St
Madison, OH 44057-3152
Phone: (440) 428-1519
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 4310178 (OH)

Record details

NPI number1154504983
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMadison Village Manor, Inc
Authorized official Anthony Serra — Administrator · (440) 428-1519
Other names The Gables
NPI enumeratedDecember 15, 2007
Last updated in NPPESDecember 15, 2007
Mailing addressPo Box 272, 731 Lake Street, Madison, OH 44057-0272

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