Individual provider Active NPI

Lacola Frankin

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • North Canton, OH
National Provider Identifier
1255097606
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
7719055 Issued in OH
Practice address
1204 N Main St
North Canton, OH 44720-1926
Phone
(234) 209-9830
Fax
(234) 209-9830
NPI assigned
Nov 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 7719055 OH Primary

Addresses

Primary practice location

1204 N Main St
North Canton, OH 44720-1926

Mailing address

1204 N Main St
North Canton, OH 44720-1926
Phone (234) 209-9830

Other identifiers 1

IdentifierTypeStateIssuer
0412451MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7719055OHMDIntellectual and/or Developmental Disabilities Residential Treatment Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Heart That Heals LLC Residential Treatment Facility, Intellectual and/Or Developmental Disabilities CurrentSince Nov 16, 2021 Accepting new patients

Locations

1204 N Main St
North Canton, OH 44720
Phone (234) 209-9830

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636675200000",
    "number": "1255097606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201926",
            "telephone_number": "234-209-9830",
            "fax_number": "234-209-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 N MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201926",
            "telephone_number": "234-209-9830",
            "fax_number": "234-209-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANKIN",
        "first_name": "LACOLA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "OH",
            "license": "7719055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0412451",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.