NPIMap

Organization Active NPI

Midwest Health Services, Inc.

  • Assisted Living Facility (Mental Illness)
  • Massillon, OH
National Provider Identifier
1033210844
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
MIDWEST HEALTH SERVICES, INC.
Practice address
11 Lincoln Way W
5A
Massillon, OH 44647-6585
Phone
(330) 832-9582
Fax
(330) 833-1305
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Connie A Hornbeck
Title
Business Manager
Phone
(330) 832-9582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X OH Primary

Addresses

Primary practice location

11 Lincoln Way W
5A
Massillon, OH 44647-6585

Mailing address

11 Lincoln Way W
5A
Massillon, OH 44647-6585
Phone (330) 832-9582

Other identifiers 1

IdentifierTypeStateIssuer
M8500321OtherOHCONTRACT NUMBER ODMRDD

National Provider Directory

National Provider Directory
Tax ID family
Midwest Health Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

107 Tommy Henrich Dr NW
Massillon, OH 44647
Phone (330) 832-9582

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1033210844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LINCOLN WAY W",
            "address_2": "5A",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446476585",
            "telephone_number": "330-832-9582",
            "fax_number": "330-833-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LINCOLN WAY W",
            "address_2": "5A",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446476585",
            "telephone_number": "330-832-9582",
            "fax_number": "330-833-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "HORNBECK",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "330-832-9582",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTRACT NUMBER ODMRDD",
            "identifier": "M8500321",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.