My Father'S House Dialysis Care Facility,LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

MY FATHER'S HOUSE DIALYSIS CARE FACILITY,LLC

Practice address

1200 30TH St NW
Canton, OH 44709-2923

Phone

(330) 309-2605

NPI assigned

Jan 19, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Arnice Llewellyn, RN

Title

President

Phone

(330) 309-2605

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1144467747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 30TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447092923",
            "telephone_number": "330-309-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 30TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447092923",
            "telephone_number": "330-309-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FATHER'S HOUSE DIALYSIS CARE FACILITY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "LLEWELLYN",
        "authorized_official_first_name": "ARNICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-309-2605",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Nicole Mussulin
• Rebecca Mutigli
• My Community Health Center
• My Community Health Center
• My Community Health Center
• Sean D Myer, RN/ BSN
• Abigayle Lynne Myers, FNP-C
• April J Myers, LISW-S, LICDC
• Mandy Leigh Myers, LCDCII
• Rebecca Ann Myers, STNA

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Canton, OH
• Providers in Canton, OH by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.