NPIMap

Organization Active NPI

People Developed Systems Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Canton, OH
National Provider Identifier
1053585216
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
36G490 Issued in OH
Legal business name
PEOPLE DEVELOPED SYSTEMS INC
Practice address
4914 Hills and Dales Rd NW
Canton, OH 44708-1406
Phone
(330) 479-7823
Fax
(330) 479-7826
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Mr. Robert M Learned
Title
Administrator
Phone
(330) 936-5690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 36G490 OH Primary

Addresses

Primary practice location

4914 Hills and Dales Rd NW
Canton, OH 44708-1406

Mailing address

4914 Hills and Dales Rd NW
Canton, OH 44708-1406
Phone (330) 479-7823

Other identifiers 1

IdentifierTypeStateIssuer
2033776MedicaidOH

Other names 1

  • PDS Sturbridge Other name

National Provider Directory

National Provider Directory
Tax ID family
PDS Carnegie4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

4914 Hills and Dales Rd NW
Canton, OH 44708
Phone (330) 479-7823

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1053585216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 HILLS AND DALES RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081406",
            "telephone_number": "330-479-7823",
            "fax_number": "330-479-7826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4914 HILLS AND DALES RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081406",
            "telephone_number": "330-479-7823",
            "fax_number": "330-479-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLE DEVELOPED SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "LEARNED",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "330-936-5690",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "36G490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2033776",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDS Sturbridge",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.