FAIRPORT ENTERPRISES, INC. (NPI# 1497701445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497701445 |
| Entity Type | Organization |
| Organization Name | FAIRPORT ENTERPRISES, INC. |
| Other Organization Name | THE LAURELS OF MASSILLON |
| Practice Address |
2000 Sherman Cir Ne Massillon OH 44646-5219 |
| Mailing Address |
8181 Worthington Rd Westerville OH 43082-8067 |
| Practice Telephone | 3308309988 |
| Practice Fax Number | 3308300039 |
| Mailing Telephone | 6147948800 |
| Mailing Fax Number | 6147948826 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2016-06-17 |
| Authorized Official Name | MR. ANIS KHAN (CFO) |
| Authorized Official Telephone | 6147948800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 2082N | OH | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 2082N | OH | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0283787 | 05 |
| Other Name | Type Code |
|---|---|
| THE LAURELS OF MASSILLON | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | FAIRPORT ENTERPRISES, INC. | 21 Margate Drive, Rochester, New York 14616 |
| Street Address |
2000 SHERMAN CIR NE |
| City | MASSILLON |
| State | OH |
| Zip Code | 44646-5219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467962423 | Np Visits, LLC | Skilled Nursing Facility | 2000 Sherman Cir Ne, Massillon, OH 44646-5219 | 2017-10-04 |
| 1598847097 | Oak Health Care Investors of Massillon, Inc. | Durable Medical Equipment & Medical Supplies | 2000 Sherman Cir Ne, Massillon, OH 44646-5219 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027498 | Tiarra Q Mccole | Home Health Aide | 879 Walnut Rd Se, Massillon, OH 44646 | 2020-09-11 |
| 1083268536 | Jenna Peters | Speech-Language Pathologist | 8036 Daytona St Nw, Massillan, OH 44646 | 2019-08-01 |
| 1063998342 | Erin Lindsay Baters | Nurse Practitioner | 2037 Wales Rd, Suite #110, Massillon, OH 44646 | 2018-07-19 |
| 1275036261 | Sarah Nichols | Licensed Practical Nurse | 1428 David Dodson Drive, Massillon, OH 44646 | 2018-03-15 |
| 1295233054 | Ohio Treatment Center, LLC | Clinic/Center | 2520 Wales Ave. Nw, Suite 100, Massillon, OH 44646 | 2018-01-26 |
| 1861901019 | Mrs Transport Services LLC | Non-emergency Medical Transport (VAN) | 2514 List St Nw, Massillon, OH 44646 | 2017-09-20 |
| 1386162899 | Brandy Marie Townsend | Home Health | 306 2nd St Sw, Massillon, OH 44646 | 2017-09-05 |
| 1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
| 1205215647 | Michelle Avril Burch | Psychologist | 1 Paul E. Brown Drive, Se, Massillon, OH 44646 | 2015-05-19 |
| 1275940371 | Anthony Tedesco | Orthopaedic Surgery | 875 8th St. Ne, Massillon, OH 44646 | 2014-07-21 |
| Find all providers in zip 44646 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114001179 | Dorothea Ann Kostolich | Skilled Nursing Facility | 1730 Warrington Rd Nw, Massillon, OH 44646-2867 | 2006-10-25 |
| 1316961493 | Legends Facility Operations, LLC | Skilled Nursing Facility | 2311 Nave Road Se, Massillon, OH 44646 | 2006-07-26 |
| 1760427629 | Tandem Health Care of Massillon, In.c | Skilled Nursing Facility | 2311 Nave Rd Se, Massillon, OH 44646-8822 | 2006-06-17 |
| 1326029836 | Avis Leasing Co., LLC | Skilled Nursing Facility | 435 Avis Avenue Nw, Massillon, OH 44646-3555 | 2005-11-10 |
| 1750362489 | Childs Investment Co | Skilled Nursing Facility | 205 Rohr Ave Nw, Massillon, OH 44646-3671 | 2005-11-09 |
| 1386643948 | Rose Lane, Inc | Skilled Nursing Facility | 5425 High Mill Ave Nw, Massillon, OH 44646-9005 | 2005-07-18 |
| 1952308462 | Meadow Wind Health Care Center, Inc. | Skilled Nursing Facility | 300 23rd St Ne, Massillon, OH 44646-4988 | 2005-06-30 |
| 1366445660 | Amherst Alliance, LLC | Skilled Nursing Facility | 1610 1st St Ne, Massillon, OH 44646-4044 | 2005-05-31 |
| 1467962423 | Np Visits, LLC | Skilled Nursing Facility | 2000 Sherman Cir Ne, Massillon, OH 44646-5219 | 2017-10-04 |
| 1447778741 | Legends Care Center LLC | Skilled Nursing Facility | 2311 Nave Rd Se, Massillon, OH 44646-8822 | 2017-09-07 |
| Find all providers in MASSILLON | ||||
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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.