NPIMap

Organization Active NPI

Essex Healthcare Corporation

Doing business as Canton Healthcare Center

  • Intellectual Disabilities Intermediate Care Facility
  • Canton, OH
National Provider Identifier
1184820896
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
7610679 Issued in OH
Legal business name
ESSEX HEALTHCARE CORPORATION
Doing business as
Canton Healthcare Center
Practice address
1223 Market Ave N
Canton, OH 44714-2603
Phone
(330) 454-2152
Fax
(330) 454-2543
NPI assigned
Jun 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Adam J. White, MBA
Title
Ar Manager
Phone
(614) 416-2638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 7610679 OH Primary

Addresses

Primary practice location

1223 Market Ave N
Canton, OH 44714-2603

Mailing address

1 Easton Oval
Suite 300
Columbus, OH 43219-6061
Phone (614) 416-0600

Other identifiers 1

IdentifierTypeStateIssuer
2024820MedicaidOH

Other names 1

  • Canton Healthcare Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Essex Healthcare Corporation27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184820896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EASTON OVAL",
            "address_2": "SUITE 300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196061",
            "telephone_number": "614-416-0600",
            "fax_number": "614-416-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 MARKET AVE N",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447142603",
            "telephone_number": "330-454-2152",
            "fax_number": "330-454-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX HEALTHCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "AR MANAGER",
        "authorized_official_telephone_number": "614-416-2638",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "OH",
            "license": "7610679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024820",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canton Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.