Lifeline Partners of Canton, Inc

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

LIFELINE PARTNERS OF CANTON, INC

Practice address

6520 Whipple Ave NW
North Canton, OH 44720-7340

Phone

(330) 494-7297

Fax

(330) 494-7365

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Burgdorf, BS

Title

President

Phone

(330) 759-9233

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• John Charles Andrefsky, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Parma, OH
  • NPI 1356373344
  NPD (past)
• Alok Bhagat, M.D.

  • Neurology Physician
  • Dover, OH
  • NPI 1548292527
  NPD (past)
• Gust Pantelas, MD

  • Family Medicine Physician
  • North Canton, OH
  • NPI 1184689432
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1073660825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207340",
            "telephone_number": "330-494-7297",
            "fax_number": "330-494-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207340",
            "telephone_number": "330-494-7297",
            "fax_number": "330-494-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE PARTNERS OF CANTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "BURGDORF",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-759-9233",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Lewis, RD, LD, RN
• Megan K Lewis
• Malorie K Libal, LPTA
• Matthew Licause, MD
• Brandon Gregory Liebau, MD
• Lifeline Partners Sleep & Diagnostic Center, Inc
• Lifeteam EMS Inc
• Danielle Lightell
• Jerry N Liliestedt, R.PH.
• Bernadette Lilly, OTR/L

• Comprehensive Outpatient Rehabilitation Facility (CORF) in North Canton, OH
• Providers in North Canton, OH by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.