BROADFIELD MANOR INC. NPI 1962526798

NPI Information

  • NPI: 1962526798
  • Provider Name: BROADFIELD MANOR INC.
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • CLIA Number: 36D2201950
  • Address: 7927 MIDDLE RIDGE RD
    MADISON, OH
    ZIP 44057
  • Phone: (440) 466-3702

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NPI Details

BROADFIELD MANOR INC. is an intermediate care facility mentally retarded in Madison, OH. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. BROADFIELD MANOR INC. NPI is 1962526798. The provider is registered as an organization entity type.

The provider's business location address is:

7927 MIDDLE RIDGE RD
MADISON, OH
ZIP 44057-023
Phone: (440) 466-3702
Fax: (440) 466-7287

The provider's authorized official is Paul Barbins .
The authorized official title is Administrator and has the following contact phone number (440) 466-3702.

The CLIA number assigned to this NPI record is 36D2201950 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 8/22/2020.

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
1315P00000XIntermediate Care Facility, Intellectual Disabilities0268OHIOYes

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
10457401MEDICAIDOHIO

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: 11/21/2025

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