Organization Active NPI

Alive Now Services

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Canton, OH
National Provider Identifier
1174177737
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
ALIVE NOW SERVICES
Practice address
6717 Amsel Ave NE
Canton, OH 44721-2606
Phone
(330) 371-9876
NPI assigned
Jul 31, 2019
Last updated
Jul 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Authorized official

Name
Joann Macksyn
Title
Ceo
Phone
(330) 371-9876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

6717 Amsel Ave NE
Canton, OH 44721-2606

Mailing address

6717 Amsel Ave NE
Canton, OH 44721-2606
Phone (330) 371-9876

Other identifiers 1

IdentifierTypeStateIssuer
7611044MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ailvenowservices@alivenowservices.org Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: ailvenowservices@alivenowservices.org

NPI Registry JSON

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564531200000",
    "number": "1174177737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 AMSEL AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212606",
            "telephone_number": "330-371-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 AMSEL AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447212606",
            "telephone_number": "330-371-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIVE NOW SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A",
        "authorized_official_last_name": "MACKSYN",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-371-9876"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7611044",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ailvenowservices@alivenowservices.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6717 Amsel Ave NE",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447212606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 31, 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.

Verify at the official NPI Registry.