Organization Active NPI

DHSC LLC

Doing business as Affinity Medical Center - Massillon Campus

  • Rehabilitation Hospital Unit
  • Massillon, OH
National Provider Identifier
1316006661
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
DHSC LLC
Doing business as
Affinity Medical Center - Massillon Campus
Practice address
875 8TH St NE
Massillon, OH 44646-8503
Phone
(330) 832-8761
Fax
(330) 832-6871
NPI assigned
Dec 6, 2006
Last updated
Apr 25, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
DHSC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Tara P Richardson
Title
Authorized Official
Phone
(615) 221-3672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NU Primary

Addresses

Primary practice location

875 8TH St NE
Massillon, OH 44646-8503

Mailing address

PO Box 10390
Fort Wayne, IN 46852-0390
Phone (330) 832-8761

Other identifiers 1

IdentifierTypeStateIssuer
0353853MedicaidOH

Other names 1

  • Affinity Medical Center - Massillon Campus Doing business as

National Provider Directory

National Provider Directory
Part of
DHSC LLC

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1316006661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10390",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468520390",
            "telephone_number": "330-832-8761",
            "fax_number": "330-832-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 8TH ST NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468503",
            "telephone_number": "330-832-8761",
            "fax_number": "330-832-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHSC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DHSC LLC",
        "enumeration_date": "2006-12-06",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-221-3672"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0353853",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affinity Medical Center - Massillon Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.