Organization Active NPI

Luke Pantelis

  • Nursing Care Agency
  • Canton, OH
National Provider Identifier
1164815692
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
13997 Issued in OH
Legal business name
LUKE PANTELIS
Practice address
6586 Windgate Ave NE
Canton, OH 44721-2558
Phone
(330) 323-6133
NPI assigned
Mar 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Luke PantelisNPI 1356771596
Title
LPN
Phone
(330) 323-6133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 13997 OH Primary

Addresses

Primary practice location

6586 Windgate Ave NE
Canton, OH 44721-2558

Mailing address

6586 Windgate Ave NE
Canton, OH 44721-2558
Phone (330) 323-6133

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1164815692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6586 WINDGATE AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212558",
            "telephone_number": "330-323-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6586 WINDGATE AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212558",
            "telephone_number": "330-323-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUKE PANTELIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "PANTELIS",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "330-323-6133"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OH",
            "license": "13997",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 9, 2015; 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.