VICTORIAN MANOR 2, INC. (NPI# 1447588124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447588124 |
| Entity Type | Organization |
| Organization Name | VICTORIAN MANOR 2, INC. |
| Practice Address |
2205 Parkwood Ave Toledo OH 43620-1125 |
| Practice Telephone | 4192429707 |
| Practice Fax Number | 4192431688 |
| Mailing Telephone | 4192429707 |
| Mailing Fax Number | 4192431688 |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |
| Authorized Official Name | MR. CLIFF P GASTON (OWNER) |
| Authorized Official Telephone | 6147323313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
2205 PARKWOOD AVE |
| City | TOLEDO |
| State | OH |
| Zip Code | 43620-1125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939148 | Jennifer Lawson | Case Manager/Care Coordinator | 2283 Ashlnd Ave., Toledo, OH 43620 | 2020-07-16 |
| 1942838404 | Emma L Mason | Student in an Organized Health Care Education/Training Program | Fcc-ob/gyn, 2213 Franklin St, Toledo, OH 43620 | 2020-03-31 |
| 1932762093 | Leela Miriyala | Student in an Organized Health Care Education/Training Program | Mercy Family Care Centre, 2213 Franklin Ave, Toledo, OH 43620 | 2019-04-15 |
| 1144726563 | Kelly Hildebrandt | Student in an Organized Health Care Education/Training Program | Mercy Health Pediatrics, 2213 Franklin Ave., Toledo, OH 43620 | 2018-04-04 |
| 1447754601 | Ansam Qaddoori Hasan | Student in an Organized Health Care Education/Training Program | Mercy Health Pediaterics, 2213 Franklin Ave, Toledo, OH 43620 | 2018-03-22 |
| 1730683038 | Rizwan Ishtiaq | Student in an Organized Health Care Education/Training Program | Mercy Family Care Center, 2213 Franklin Ave, Toledo, OH 43620 | 2018-03-21 |
| 1205338019 | Celia Marie Camardo Russo | Student in an Organized Health Care Education/Training Program | 2213 Franklin Street, Fcc-ob/gyn, Toledo, OH 43620 | 2018-03-07 |
| 1326547704 | Andrew Greene | Student in an Organized Health Care Education/Training Program | 2213 Franklin St, Fcc-ob/gyn, Toledo, OH 43620 | 2018-02-12 |
| 1073048096 | Akshita Singh | Internal Medicine | 2213 Franlklin Ave, 2nd Floor, Toledo, OH 43620 | 2017-04-27 |
| 1972038578 | Vanaja Theepa Sivakumar | Student in an Organized Health Care Education/Training Program | Mercy Health Franklin Avenue Pediatrics, 2213 Franklin St., Toledo, OH 43620 | 2017-04-21 |
| Find all providers in zip 43620 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090318 | Kathi Harris | In Home Supportive Care | 2547 Moffat Rd Apt 10, Toledo, OH 43615-2595 | 2020-10-15 |
| 1437765062 | Robert E Shorter | In Home Supportive Care | 2620 Westmar Ct Apt 155, Toledo, OH 43615-2009 | 2020-09-18 |
| 1265059083 | Guiding Miracles LLC | In Home Supportive Care | 6251 Reo St, Toledo, OH 43615-5736 | 2020-06-27 |
| 1689218745 | Aash Home Care LLC | In Home Supportive Care | 5533 Southwyck Blvd, Toledo, OH 43614-1516 | 2019-11-01 |
| 1548816952 | Vays Residential Care LLC | In Home Supportive Care | 136 Bronson Ave, Toledo, OH 43608-1826 | 2019-08-12 |
| 1912462748 | A Wyse Choice Home Care LLC | In Home Supportive Care | 621 Prentice Ave, Toledo, OH 43605-2644 | 2019-02-06 |
| 1629559166 | Brandon Metroff | In Home Supportive Care | 1524 Carlyle St, Toledo, OH 43605-3804 | 2018-08-23 |
| 1558853903 | Stephanie R Jones | In Home Supportive Care | 6130 White Oak Dr, Toledo, OH 43615-5739 | 2018-06-01 |
| 1538667571 | Anissa Winters | In Home Supportive Care | 1111 Mcdonald St, Toledo, OH 43612-1732 | 2018-01-24 |
| 1992213441 | Tonie Mitchell | In Home Supportive Care | 1843 Stahlwood Ave, Toledo, OH 43613-5239 | 2018-01-18 |
| Find all providers in TOLEDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.