Healthcare Provider Details

I. General information

NPI: 1710841382
Provider Name (Legal Business Name): CARDINAL MAG HOMES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2714 BEECHWOOD AVE
ALLIANCE OH
44601-4437
US

IV. Provider business mailing address

2714 BEECHWOOD AVE
ALLIANCE OH
44601-4437
US

V. Phone/Fax

Practice location:
  • Phone: 330-821-2794
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: SANDY MUIR
Title or Position: VP OF GOVERNMENT AFFAIRS
Credential:
Phone: 440-793-2245