Mother Harrell'S Haven

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MOTHER HARRELL'S HAVEN

Practice address

1603 25TH St NW
Canton, OH 44709-3421

Phone

(330) 268-9065

NPI assigned

Aug 24, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Vernon Kelly

Title

Owner

Phone

(330) 268-9065

Specialties & licenses 1

Addresses

Other names 1

• mother harrell's haven Former legal business name

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1043823701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 25TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093421",
            "telephone_number": "330-268-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 25TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093421",
            "telephone_number": "330-268-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER HARRELL'S HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "VERNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-268-9065",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mother harrell's haven",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lloyd Mosley
• David T. Moss
• Shanae M Moss
• Shannon Moss
• Francisca Sefakor Mote, MD
• Erika Sue Mott, PA-C
• Mark Douglas Mottice, PT
• Dana Maria Motz, RN
• Jacob C Motz
• Michael J Motz, M.D.

• Home Health Agency in Canton, OH
• Providers in Canton, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.