Chancelor Bush

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

7611206 Issued in OH

Practice address

108 3Rd St NE
Massillon, OH 44646-5605

Phone

(330) 224-4823

Fax

(614) 468-1246

NPI assigned

Aug 20, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• All Love Homecare Services

  • Home Health Agency
  • Canton, OH
  • NPI 1023866043
  NPD Authorized official

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1063399020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 FREDERICK AVE SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447065314",
            "telephone_number": "330-224-4823",
            "fax_number": "330-224-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 3RD ST NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446465605",
            "telephone_number": "330-224-4823",
            "fax_number": "614-468-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "CHANCELOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "7611206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "853687387",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Bullock
• Michelle Avril Burch
• Haley Burns
• Dorothy Jeanne Burr
• Davina Burt
• Fred F. Butler, CDMS
• Daniel Joseph Cain, D.O.
• Shirley Jane Cain, COTA/L
• Fallon M Camp
• Mark Ej Campanale, CDCA

• Home Health Aide in Massillon, OH
• Providers in Massillon, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.