The Lodge at New Dawn, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

THE LODGE AT NEW DAWN, INC.

Doing business as

The Lodge at New Dawn

Practice address

3660 Greentree Avenue, SW
Canton, OH 44706-4024

Phone

(330) 484-5888

Fax

(330) 484-5246

NPI assigned

Aug 11, 2016

Last updated

Sep 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dannie Hershberger

Title

President

Phone

(330) 343-5521

Specialties & licenses 1

Addresses

Other names 1

• The Lodge at New Dawn Doing business as

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1316491905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 GREENTREE AVE SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447064024",
            "telephone_number": "330-484-5888",
            "fax_number": "330-484-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 GREENTREE AVENUE, SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447064024",
            "telephone_number": "330-484-5888",
            "fax_number": "330-484-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LODGE AT NEW DAWN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "HERSHBERGER",
        "authorized_official_first_name": "DANNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-343-5521"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lodge at New Dawn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Canton, OH
• Providers in Canton, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.