B&W DEVELOPMENTAL CARE CENTER LLC (NPI# 1316302813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316302813 |
Entity Type | Organization |
Organization Name | B&W DEVELOPMENTAL CARE CENTER LLC |
Practice Address |
800 Market Ave N Suite #100 Canton OH 44702-1083 |
Practice Telephone | 3307546811 |
Enumeration Date | 2015-12-28 |
Last Update Date | 2016-02-01 |
Authorized Official Name | MIKE BUSH (CEO) |
Authorized Official Telephone | 3306081939 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251C00000X | Day Training, Developmentally Disabled Services | 0146342 | OH | Agencies |
Entity Type | Entity Name | Entity Address |
---|---|---|
Ohio Business Entities | B&W DEVELOPMENTAL CARE CENTER LLC | 616 Ironwood St. Sw, Canton, OH 44706 |
Street Address |
800 MARKET AVE N SUITE #100 |
City | CANTON |
State | OH |
Zip Code | 44702-1083 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447372875 | Rushina Anil Patel | Physical Therapist | 800 Market Ave N, Canton, OH 44702 | 2007-04-05 |
1083229090 | Keara Audrey Steving | Speech-Language Pathologist | 800 Market Ave N, Canton, OH 44702-1083 | 2020-09-15 |
1801413984 | Courtney Pelham | Social Worker | 800 Market Ave N, Canton, OH 44702-1083 | 2020-07-06 |
1447811195 | Lavonia T Depasquale | Counselor | 800 Market Ave N, Canton, OH 44702-1083 | 2019-06-24 |
1972070449 | Angels Above Healthcare Management LLC | Nurse Practitioner | 800 Market Ave N, Canton, OH 44702-1083 | 2018-11-01 |
1194244061 | Hannah J Tedrow | Speech-Language Pathologist | 800 Market Ave N, Canton, OH 44702-1083 | 2017-09-12 |
1750800629 | Jessica Christine Thome | Speech-Language Pathologist | 800 Market Ave N, Canton, OH 44702-1083 | 2017-09-12 |
1851832406 | Stuart Mettler | Occupational Therapist | 800 Market Ave N, Canton, OH 44702-1083 | 2017-03-15 |
1144604562 | Shradha Vasa | Physical Therapist | 800 Market Ave N, Canton, OH 44702-1083 | 2015-07-15 |
1285915140 | Gerard Santos Eusebio | Physical Therapy Assistant | 800 Market Ave N, Canton, OH 44702-1083 | 2011-09-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588138390 | Angela Rhoad | Peer Specialist | Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 | 2019-01-15 |
1710426291 | Aaron Valentine | Community Health Worker | 401 West Tuscarawas Street, Suite 501, Canton, OH 44702 | 2017-02-17 |
1386028389 | Leigh Fotheringham | Skilled Nursing Facility | 800 Market Ave. North, Canton, OH 44702 | 2015-07-20 |
1427485127 | Canton College Preparatory School | Local Education Agency (LEA) | 101 Cleveland Avenue Nw, Canton, OH 44702 | 2013-09-26 |
1730337197 | Linda Lee Gemma | Registered Nurse | 733 Market St South, Canton, OH 44702 | 2008-08-28 |
1124183702 | John Mannos | Family Medicine | 333 2nd St Se, Canton, OH 44702 | 2006-12-26 |
1629556949 | Judy Chava | Nurse Practitioner | 400 Tuscarawas St W, Canton, OH 44702 | 2018-07-30 |
1407359656 | Reginald A Corner | Case Manager/Care Coordinator | 401 Tuscarawas St W Ste 501, Canton, OH 44702 | 2018-03-14 |
1609378322 | Nicole Osborne | Peer Specialist | 624 Market Ave N, Canton, OH 44702 | 2018-03-08 |
1427550680 | Lydia Kate Saylor | Counselor | 624 Market Ave N, Canton, OH 44702 | 2018-03-05 |
Find all providers in zip 44702 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558977363 | Northeast Developmental Services, Incorporated | Day Training, Developmentally Disabled Services | 7790 Market Ave N, Canton, OH 44721-1641 | 2020-09-17 |
1902428758 | Life Simplified, LLC | Day Training, Developmentally Disabled Services | 1104 48th St Nw, Canton, OH 44709-1210 | 2020-05-15 |
1629542741 | Tanzeah S Sharpe | Day Training, Developmentally Disabled Services | 137 Walnut Ave Ne Ste 213, Canton, OH 44702-1248 | 2019-01-11 |
1518437243 | Asd Smart Kids | Day Training, Developmentally Disabled Services | 337 Sylvan Drive, Canton, MI 48188-4818 | 2018-11-26 |
1639610561 | Shannon Lackey | Day Training, Developmentally Disabled Services | 746 Marion Ave Sw, Canton, OH 44707-4371 | 2017-03-11 |
1306381199 | Genuine Loving Care LLC | Day Training, Developmentally Disabled Services | 2130 8th St Ne, Canton, OH 44704-2218 | 2017-01-03 |
1184070526 | Mj Harvey Development, LLC | Day Training, Developmentally Disabled Services | 804 Marion Ave Sw, Canton, OH 44707 | 2016-05-04 |
1851760631 | 1st Choice Providers LLC | Day Training, Developmentally Disabled Services | 3717 Fulton Dr Nw, Canton, OH 44718-3258 | 2015-09-22 |
1659782506 | Different Abilities Transportation and Care | Day Training, Developmentally Disabled Services | 1612 Tuscarawas St W, Canton, OH 44708-4847 | 2014-05-14 |
1447672928 | Peak Health Inc | Day Training, Developmentally Disabled Services | 4645 Monica Ave Sw, Canton, OH 44706-4525 | 2014-01-17 |
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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.