Community Wellness Center of Stark County, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COMMUNITY WELLNESS CENTER OF STARK COUNTY, INC.

Practice address

1800 Cleveland Ave NW
Canton, OH 44709-3602

Phone

(330) 456-7792

Fax

(330) 456-7061

NPI assigned

Nov 10, 2006

Organization subpart

No

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

Authorized official

Name

Kelli J Scott, MS

Title

Ceo Executive Director

Phone

(330) 456-7792

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164593455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 CLEVELAND AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093602",
            "telephone_number": "330-456-7792",
            "fax_number": "330-456-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CLEVELAND AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093602",
            "telephone_number": "330-456-7792",
            "fax_number": "330-456-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY WELLNESS CENTER OF STARK COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "330-456-7792",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.