Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Madison Village Manor, Inc

Intellectual and/or Developmental Disabilities Residential Treatment Facility in Madison, OH · enumerated 2007 · authorized official Anthony Serra, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154504983

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Registry record

Entity type Organization (Type 2)

Legal business name Madison Village Manor, Inc

Other name <Unavail>

Parent organization Madison Village Manor, Inc

Practice address 731 N Lake St, Madison, OH, 44057

Phone (440) 428-1519

Fax (440) 428-6360

Enumeration date Dec 15, 2007

Last updated in NPPES Dec 15, 2007

Taxonomy & classification

320600000X Intellectual and/or Developmental Disabilities Residential Treatment Facility Residential Treatment Facilities · License 4310178 (OH) Primary

Authorized official

Name Anthony Serra

Title Administrator

Phone (440) 428-1519

Other identifiers

Identifier	Type	State	Issuer
1724665	Medicaid	OH	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-12-15. Verify at npiregistry.cms.hhs.gov.

Where is Madison Village Manor, Inc located?

The practice location on file with NPPES is in Madison, OH.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-12-15.