ST. EDWARD HOME NPI 1649027459

NPI Information

  • NPI: 1649027459
  • Provider Name: ST. EDWARD HOME
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 3131 SMITH RD
    FAIRLAWN, OH
    ZIP 44333
  • Phone: (330) 666-1183

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NPI Details

ST. EDWARD HOME is an assisted living facility in Fairlawn, OH. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ST. EDWARD HOME NPI is 1649027459. The provider is registered as an organization entity type.

The provider's business location address is:

3131 SMITH RD
FAIRLAWN, OH
ZIP 44333-613
Phone: (330) 666-1183

The provider's authorized official is Melanie Gladden .
The authorized official title is Controller and has the following contact phone number (234) 466-5214.

The enumeration date for this NPI number is 5/1/2024 and was last updated on 5/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12832395MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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