Provider Demographics
NPI:1639242910
Name:FALLS VILLAGE RETIREMENT COMMUNITY LTD
Entity Type:Organization
Organization Name:FALLS VILLAGE RETIREMENT COMMUNITY LTD
Other - Org Name:FALLS VILLAGE SKILLED NURSING & REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OF MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRANCUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-929-0009
Mailing Address - Street 1:330 BROADWAY ST E
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-3312
Mailing Address - Country:US
Mailing Address - Phone:330-945-9797
Mailing Address - Fax:330-920-6476
Practice Address - Street 1:330 BROADWAY ST E
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-3312
Practice Address - Country:US
Practice Address - Phone:330-945-9797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH314000000X
314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2259461Medicaid
OH366222Medicare ID - Type Unspecified
OH2259461Medicaid