Provider Demographics
NPI:1033669254
Name:VILLAGE OF THE FALLS, INC.
Entity Type:Organization
Organization Name:VILLAGE OF THE FALLS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CFO
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:MALANOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-989-5235
Mailing Address - Street 1:3905 OBERLIN AVE
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-2853
Mailing Address - Country:US
Mailing Address - Phone:440-989-5200
Mailing Address - Fax:
Practice Address - Street 1:25920 ELM ST
Practice Address - Street 2:
Practice Address - City:OLMSTED FALLS
Practice Address - State:OH
Practice Address - Zip Code:44138-1656
Practice Address - Country:US
Practice Address - Phone:440-989-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHCS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-12
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility