NORTHEAST PROFESSIONAL HOME CARE, INC. (NPI# 1184615148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184615148 |
| Entity Type | Organization |
| Organization Name | NORTHEAST PROFESSIONAL HOME CARE, INC. |
| Other Organization Name | NORTHEAST PROFESSIONAL HOME CARE |
| Practice Address |
4580 Stephen Cir Nw Ste 301 Canton OH 44718-3646 |
| Practice Telephone | 3309662311 |
| Practice Fax Number | 3309662381 |
| Mailing Telephone | 3309662311 |
| Mailing Fax Number | 3309662381 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2020-07-31 |
| Authorized Official Name | DALE W WELLS (CEO) |
| Authorized Official Telephone | 3309662311 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHEAST PROFESSIONAL HOME CARE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Northeast Professional Home Care | Doing Business As Name - Organization |
| Northeast Professional Home Care Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669094272 | Northeast Professional Home Care, Inc. | Clinic/Center | 45 Cathedral Ln, Cuyahoga Falls, OH 44223-1657 | 2020-05-18 |
| Street Address |
4580 STEPHEN CIR NW STE 301 |
| City | CANTON |
| State | OH |
| Zip Code | 44718-3646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518567320 | Advanced Provider Services | Home Health | 4194 Fulton Dr Nw, Canton, OH 44718-2877 | 2020-10-30 |
| 1669072377 | Integrity Reeves | Home Health | 429 Fenton Ave Ne, Canton, OH 44704-2135 | 2020-10-30 |
| 1609476464 | Teaira Lee Lightner | Home Health | 515 19th St Nw, Canton, OH 44709-3874 | 2020-10-29 |
| 1669072583 | Xl Developmental Services, Inc. | Home Health | 4403 19th St Nw, Canton, OH 44708 | 2020-10-29 |
| 1952909947 | Home Health Ohio LLC | Home Health | 1944 Whipple Ave Nw, Canton, OH 44708-2841 | 2020-10-13 |
| 1811595721 | Darnetta Marie Williams | Home Health | 4704 Cranberry Ave Nw, Canton, OH 44709-1315 | 2020-10-13 |
| 1043823701 | Mother Harrell's Haven | Home Health | 1603 25th St Nw, Canton, OH 44709-3421 | 2020-08-24 |
| 1902422017 | Sheila Arrington | Home Health | 4419 Northview Ave Nw, Canton, OH 44709-1330 | 2020-06-24 |
| 1245856608 | William Todd Tyler | Home Health | 250 E Main St Ste 202a, Canton, GA 30114-2781 | 2020-06-22 |
| 1962025742 | Visiting Nurse Homehealth Inc | Home Health | 905 Turnpike St Ste A, Canton, MA 02021-2833 | 2020-05-27 |
| Find all providers in CANTON | ||||
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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.