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Contact Information

BROADFIELD MANOR INC.
7927 MIDDLE RIDGE RD
MADISON, OH44057-3023
 Phone: 440-466-3702
 Fax: 440-466-7287
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Facility/Intermediate Care Facility

313M00000X A3[10] Other Nursing Facility
Indicates primary specialty

NPI Profile & details for BROADFIELD MANOR INC.

NPI # 1154463412
LBN Legal business name BROADFIELD MANOR INC.
Authorized official PAUL BARBINS - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2007
Last updated 05/24/2010 - About 16 years ago
Identifiers
OH License # 0268
OH Medicaid 0999755
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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