Wanida Enterprises LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

WANIDA ENTERPRISES LLC

Practice address

148 Linwood Ave NW
Canton, OH 44708-5621

Phone

(330) 880-9167

NPI assigned

May 5, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Vincent Edward WattsNPI 1619652468

Title

Ceo

Phone

(330) 880-9167

Specialties & licenses 4

Addresses

Other names 1

• Wanida Home Health Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vincent Edward Watts

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Canton, OH
  • NPI 1619652468

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1525478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1063901031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 LINWOOD AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447085621",
            "telephone_number": "330-880-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 LINWOOD AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447085621",
            "telephone_number": "330-880-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WANIDA ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-05",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-880-9167",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wanida Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Rae Walton, LSW
• Serenthia Denise Walton
• Amanda Elizabeth Waltz, PT
• Jenna Waltz, M.ED.
• Eric X Wang, M.D.
• Jordan Richard Wanner, PHARMD
• Samantha L Wanner
• Ashley Ward, PA-C
• Ashley Ward, CT
• Carrie Ward, LPN

• In Home Supportive Care Agency in Canton, OH
• Providers in Canton, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.