Active NPI
Heart 2 Heart Group Homes Inc
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Canton, OH
National Provider Identifier
1154985877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- HEART 2 HEART GROUP HOMES INC
- Practice address
- 1007 Ridge Rd NW
Canton, OH 44703-2105 - Phone
- (330) 617-2087
- NPI assigned
- Apr 29, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Greg Heintzelman
- Title
- Owner
- Phone
- (330) 617-2087
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Primary | ||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X |
Addresses
Primary practice location
1007 Ridge Rd NW
Canton, OH 44703-2105
Mailing address
411 Thomas Cir NE
Massillon, OH 44646-4976
Phone (330) 617-2087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0334254 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560211200000",
"number": "1154985877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 THOMAS CIR NE",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446464976",
"telephone_number": "330-617-2087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 RIDGE RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447032105",
"telephone_number": "330-617-2087"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART 2 HEART GROUP HOMES INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-29",
"last_updated": "2019-06-11",
"status": "A",
"authorized_official_last_name": "HEINTZELMAN",
"authorized_official_first_name": "GREG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-617-2087"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0334254",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
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 Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.